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ACADEMY DERMATOLOGISTS GROUP LLC
NPI 1144588047
Dermatology - Procedural Dermatology in Tucson, AZ

Active since April 27, 2012
6648 E CARONDELET DR, TUCSON, AZ 85710(520) 886-8151(520) 885-1404 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Academy Dermatologists Group Llc NPPES

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

ACADEMY DERMATOLOGISTS GROUP LLC (NPI 1144588047) is a healthcare organization registered as a procedural dermatology in Tucson, Arizona and active in the NPI registry since April 2012. The organization lists Gheorghe Pusta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144588047
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameACADEMY DERMATOLOGISTS GROUP LLC
Location Address6648 E CARONDELET DRTucson, AZ 85710-2119
Mailing Address6601 Vaught Ranch Rd Ste 200Austin, TX 78730-2309 · (512) 628-0465 · Fax (512) 628-0468
Phone(520) 886-8151
Fax(520) 885-1404
Organization SubpartNo
Authorized OfficialGheorghe PustaCeo · (512) 960-5760
Enumeration DateApril 27, 2012
Last NPPES UpdateFebruary 28, 2018
✔ NPI 1144588047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in AZ · 11617
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License RN081679 (AZ)
6648 E CARONDELET DR, Tucson, AZ 85710
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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 3

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

DR. ANDREW S. TEDESCO M.D.
Dermatology (Procedural Dermatology)
6648 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 886-8151
LATHA SREE VELLANKI M.D.
Dermatology
6648 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 886-8151
ALEXANDER NICHOLAS ROSE MD
Dermatology
6648 E CARONDELET DR
TUCSON, AZ 85710
Pima County (520) 886-8151

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 Academy Dermatologists Group LLC's NPI number?

The NPI number for Academy Dermatologists Group LLC is 1144588047. It was assigned to this organization in the NPPES registry on April 27, 2012.

Where is Academy Dermatologists Group LLC located?

Academy Dermatologists Group LLC is located at 6648 E Carondelet Dr, Tucson, AZ 85710. The listed phone number is (520) 886-8151.

What is Academy Dermatologists Group LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Academy Dermatologists Group LLC was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.