Edward M Galiczynski (NPI# 1255517041, PAC ID# 3779730841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1255517041 |
| PAC ID by PECOS | 3779730841 |
| Professional Enrollment ID | I20120823000938 |
| Full Name | Edward M Galiczynski |
| Organization Legal Name | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| Address |
2224 W Northern Ave Suite D300 Phoenix AZ 85021-5099 |
| Phone Number | 6022771449 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6204720626 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 288 N Ironwood Dr, Suite 105, Apache Junction, AZ 85120-3830 | 4806714086 | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| 6644 E Baseline Rd, Suite 102, Mesa, AZ 85206-4439 | 4808440510 | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 | 6022771449 | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| 4835 E Cactus Rd, Suite 155, Scottsdale, AZ 85254-4195 | 6029963050 | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 71% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 57% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 37% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 11% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 98% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 68% |
| Organization Legal Name | ARIZONA SKIN AND LASER THERAPY INSTITUTE LTD |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Waldo | General Surgery | Arizona Skin and Laser Therapy Institute Ltd | 1500 S White Mountain Rd, Suite 401, Show Low, AZ 85901-7117 |
| Marlene Wright | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 6644 E Baseline Rd, Suite 102, Mesa, AZ 85206-4439 |
| Glenn L Zellman | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| John A Ebner | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Tirsa C Quartullo | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Veronica K Dowling | Orthopedic Surgery | Arizona Skin and Laser Therapy Institute Ltd | 1500 S White Mountain Rd, Suite 401, Show Low, AZ 85901-7117 |
| Karla M Horton | Physician Assistant | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Holly N Nichols | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Debra L Bergstrom | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 4001 E Baseline Rd, Suite 202, Gilbert, AZ 85234-2735 |
| Michael L Crandall | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Street Address |
2224 W NORTHERN AVE SUITE D300 |
| City | PHOENIX |
| State | AZ |
| Zip | 85021-5099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn L Zellman | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| John A Ebner | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Tirsa C Quartullo | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Karla M Horton | Physician Assistant | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Holly N Nichols | Nurse Practitioner | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Michael L Crandall | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| William T Ko | Dermatology | Arizona Skin and Laser Therapy Institute Ltd | 2224 W Northern Ave, Suite D300, Phoenix, AZ 85021-5099 |
| Michael J Higbee | Physician Assistant | Arizona Skin and Laser Therapy Institute, Ltd | 2224 W Northern Ave, Suite 300, Phoenix, AZ 85021-5099 |
| Kirsten Flynn | Dermatology | Arizona Skin and Laser Therapy Institute, Ltd | 2224 W Northern Ave, Suite 300, Phoenix, AZ 85021-5099 |
| Neil P Superfon | Dermatology | Arizona Skin and Laser Therapy Institute, Ltd | 2224 W Northern Ave, Suite 300, Phoenix, AZ 85021-5099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasa Vojvodic | Family Medicine | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Nolawi M Mengesha | Internal Medicine | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Michael J Brennan | Orthopedic Surgery | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Thomas Sorrell | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Brian P Doorley | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Jamie Alexander | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Brandon Walker | Physical Therapy | Bhsm Rehabilitation, LLC | 2400 W Dunlap Ave, Suite 145, Phoenix, AZ 85021-2813 |
| Russell K Ho Lem | Chiropractic | 9014 N 23rd Ave, Suite 8, Phoenix, AZ 85021-2854 | |
| Jeffrey B Parker | Geriatric Medicine | Maricopa County Special Health Care District | 934 W Hatcher Rd, Phoenix, AZ 85021-3139 |
| Brittney S Gillespie | Physician Assistant | Maricopa County Special Health Care District | 934 W Hatcher Rd, Phoenix, AZ 85021-3139 |
| Find all physicians in zip 85021 | |||
| City | PHOENIX |
| Zip Code | 85021 |
| Specialty | DERMATOLOGY |
| City + Specialty | PHOENIX + DERMATOLOGY |
Please comment or provide details below to improve the information on Edward M Galiczynski.
| 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.