Lisa R Hynes (NPI# 1083661474, PAC ID# 1254373327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1083661474 |
| PAC ID by PECOS | 1254373327 |
| Professional Enrollment ID | I20050531000136 |
| Full Name | Lisa R Hynes |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Address |
7767 W Deer Valley Rd Suite 140 Peoria AZ 85382-2103 |
| Phone Number | 6234873003 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA - HAHNEMANN UNIVERSITY |
| Graduation Year | 1993 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9830181361 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10750 W Mcdowell Rd, Suite D400, Avondale, AZ 85392-5966 | 6235479957 | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 | 6234873003 | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 99% |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara M Royse | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Joan S Altman | Physician Assistant | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Andrew S Tedesco | Dermatology | Epiphany Dermatology of Arizona LLC | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 |
| Connie D Nikolaidis | Nurse Practitioner | Epiphany Dermatology of Arizona LLC | 6648 E Carondelet Dr, Tucson, AZ 85710-2119 |
| Julie D Jacobs | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Thomas Lee | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Deborah S Mendelson | Dermatology | Epiphany Dermatology of Arizona LLC | 9327 N 3rd St, Suite 206, Phoenix, AZ 85020-2473 |
| Velika J Lotwala | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Jennifer Claire Aronica | Dermatology | Epiphany Dermatology of Arizona LLC | 2525 W Carefree Hwy, Suite 144, Phoenix, AZ 85085-6096 |
| Matthew S Crosby | Dermatology | Epiphany Dermatology of Arizona LLC | 1916 Paseo San Luis, Sierra Vista, AZ 85635-4614 |
| Street Address |
7767 W DEER VALLEY RD SUITE 140 |
| City | PEORIA |
| State | AZ |
| Zip | 85382-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara M Royse | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Velika J Lotwala | Physician Assistant | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| David Seiter | Nurse Practitioner | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Keith J Haar | Dermatology | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Rebecca L Caudle | Physician Assistant | Arrowhead Dermatology PC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Amato | Family Medicine | Urgent Care Centers of Arizona, LLC | 21471 N Lake Pleasant Pkwy, Suite 1710, Peoria, AZ 85382-0001 |
| Patrice Marye Churchill | Family Medicine | Urgent Care Centers of Arizona, LLC | 21471 N Lake Pleasant Pkwy, Suite 1710, Peoria, AZ 85382-0001 |
| John R Tanner | Optometry | John R Tanner Od Pllc | 18431 N 91st Ave, Suite 1, Peoria, AZ 85382-0817 |
| Mark W Wellman | Optometry | John R Tanner Od Pllc | 18431 N 91st Ave, Suite 1, Peoria, AZ 85382-0817 |
| Quenton B Mccallister | Occupational Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Gail A Abbey | Occupational Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Sarah B Starkey | Occupational Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Lori L Borowitz | Occupational Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Deanna M Imperiale | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Vincent W Baldwin | Physical Therapy | Genesis Eldercare Rehabilitation Services LLC | 18170 N 91st Ave, Peoria, AZ 85382-0866 |
| Find all physicians in zip 85382 | |||
| City | PEORIA |
| Zip Code | 85382 |
| Specialty | DERMATOLOGY |
| City + Specialty | PEORIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Lisa R Hynes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.