ARIZONA SKIN SPECIALISTS PLLC
NPI 1134165657
Dermatology in Phoenix, AZ

Active since June 22, 2006
16620 N 40TH ST, STE I-5, PHOENIX, AZ 85032(602) 482-1300 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Arizona Skin Specialists Pllc NPPES

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

ARIZONA SKIN SPECIALISTS PLLC (NPI 1134165657) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since June 2006. The organization lists Mark E. B. Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1134165657
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARIZONA SKIN SPECIALISTS PLLC
Location Address16620 N 40TH ST, STE I-5Phoenix, AZ 85032-3348
Mailing Address16620 N 40th St, Ste I-5Phoenix, AZ 85032-3348 · (602) 482-1300
Organization SubpartNo
Authorized OfficialMark E. B. JohnsonOwner · (602) 482-1300
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 26, 2011
NPI 1134165657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 24917
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.
16620 N 40TH ST, Phoenix, AZ 85032

Other Identifiers 2

OtherK3265TX · Medical License
OtherMD0000031574TN · Medical License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Radiology (Radiation Oncology)
16620 N 40TH ST, SUITE C-3
PHOENIX, AZ 85032
Dentist (Oral and Maxillofacial Surgery)
16620 N 40TH ST, SUITE H-1
PHOENIX, AZ 85032
Clinic/Center (Adult Mental Health)
16620 N 40TH ST, SUITE I-1
PHOENIX, AZ 85032
Family Medicine
16620 N 40TH ST, SUITE C1
PHOENIX, AZ 85032
Surgery
16620 N 40TH ST, STE. H3
PHOENIX, AZ 85032
Preferred Provider Organization
16620 N 40TH ST, STE. H - 3
PHOENIX, AZ 85032
Dentist
16620 N 40TH ST, #F
PHOENIX, AZ 85032
Behavior Technician
16620 N 40TH ST
PHOENIX, AZ 85032

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 Arizona Skin Specialists PLLC's NPI number?

The NPI number for Arizona Skin Specialists PLLC is 1134165657. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Arizona Skin Specialists PLLC located?

Arizona Skin Specialists PLLC is located at 16620 N 40th St Ste I-5, Phoenix, AZ 85032. The listed phone number is (602) 482-1300.

What is Arizona Skin Specialists PLLC'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 Arizona Skin Specialists PLLC was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.