ACTINODERMATOLOGY LTD
NPI 1063695252
Dermatology in Tempe, AZ

Active since December 11, 2007
2600 E SOUTHERN AVE, #A-2, TEMPE, AZ 85282(480) 839-1767 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Actinodermatology Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTINODERMATOLOGY LTD (NPI 1063695252) is a healthcare organization registered as a dermatology in Tempe, Arizona and active in the NPI registry since December 2007. The organization lists Jerry A Ponitch, President, as its authorized official.

NPPES Registry Identity

NPI1063695252
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACTINODERMATOLOGY LTD
Location Address2600 E SOUTHERN AVE, #A-2Tempe, AZ 85282-7610
Mailing Address2600 E Southern Ave, #a-2Tempe, AZ 85282-7610 · (480) 839-1767
Organization SubpartNo
Authorized OfficialJerry A PonitchPresident · (480) 839-1767
Enumeration DateDecember 11, 2007
Last NPPES UpdateApril 1, 2010
NPI 1063695252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 7979
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2600 E SOUTHERN AVE, Tempe, AZ 85282

Other Identifiers 1

Medicare PINZ119230AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
2600 E SOUTHERN AVE, #D1
TEMPE, AZ 85282
Pediatrics
2600 E SOUTHERN AVE, BLDG. H
TEMPE, AZ 85282
Surgery
2600 E SOUTHERN AVE, SUITE E1
TEMPE, AZ 85282
Specialist
2600 E SOUTHERN AVE, SUITE A1
TEMPE, AZ 85282
Urology
2600 E SOUTHERN AVE, SUITE J1
TEMPE, AZ 85282
Psychologist (Clinical)
2600 E SOUTHERN AVE, STE. C3
TEMPE, AZ 85282
Psychologist
2600 E SOUTHERN AVE, SUITE C-3
TEMPE, AZ 85282
Family Medicine
2600 E SOUTHERN AVE, B2
TEMPE, AZ 85282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Actinodermatology Ltd's NPI number?

The NPI number for Actinodermatology Ltd is 1063695252. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Actinodermatology Ltd located?

Actinodermatology Ltd is located at 2600 E Southern Ave #a-2, Tempe, AZ 85282. The listed phone number is (480) 839-1767.

What is Actinodermatology Ltd's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Actinodermatology Ltd was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.