Matthew S Crosby (NPI# 1760824338, PAC ID# 5890928055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1760824338 |
| PAC ID by PECOS | 5890928055 |
| Professional Enrollment ID | I20190912001875 |
| Full Name | Matthew S Crosby |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| Address |
1916 Paseo San Luis Sierra Vista AZ 85635-4614 |
| Phone Number | 5204581505 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9830181361 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1916 Paseo San Luis, Sierra Vista, AZ 85635-4614 | 5204581505 | EPIPHANY DERMATOLOGY OF ARIZONA LLC |
| 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 |
| Lisa R Hynes | Dermatology | Epiphany Dermatology of Arizona LLC | 7767 W Deer Valley Rd, Suite 140, Peoria, AZ 85382-2103 |
| 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 |
| Street Address |
1916 PASEO SAN LUIS |
| City | SIERRA VISTA |
| State | AZ |
| Zip | 85635-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy D Weierman | Physician Assistant | Angelo A Petropolis Md Pllc | 1916 Paseo San Luis, Sierra Vista, AZ 85635-4614 |
| Angelo A Petropolis | Dermatology | Angelo A Petropolis Md Pllc | 1916 Paseo San Luis, Sierra Vista, AZ 85635-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly B Smith | Chiropractic | 2123 S Hwy 92, Sierra Vista, AZ 85635 | |
| Lincoln J Daynes | Optometry | 400 W Fry Blvd, Suite 9, Sierra Vista, AZ 85635-1760 | |
| Matthew Robert Genz | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Louise Nosanchuck | Family Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Everett R Castle | Emergency Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Jason David Steinberg | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| James Garet Goodman | Chiropractic | 222 E Fry Blvd, Sierra Vista, AZ 85635-1817 | |
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Purba Biswas | Internal Medicine | 629 N Hwy 90, Sierra Vista, AZ 85635-2257 | |
| Mohammed A J Sikder | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Find all physicians in zip 85635 | |||
| City | SIERRA VISTA |
| Zip Code | 85635 |
| Specialty | DERMATOLOGY |
| City + Specialty | SIERRA VISTA + DERMATOLOGY |
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| 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.