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CENTER FOR DERMATOLOGY, PLLC
NPI 1174062673
Physician Assistant - Medical in Scottsdale, AZ

Active since February 16, 2017CLIA Certified · 8 labs
14275 N 87TH ST, SUITE 109 & 110, SCOTTSDALE, AZ 85260(480) 905-8485(480) 905-7274 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2025, Nov 7, 2019, Feb 16, 2017 (3 updates tracked since 2017).

About Center For Dermatology, Pllc NPPES

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

CENTER FOR DERMATOLOGY, PLLC (NPI 1174062673) is a healthcare organization registered as a medical in Scottsdale, Arizona and active in the NPI registry since February 2017. The organization holds 8 active CLIA laboratory certificates and lists Gary Mccracken, Owner/medical Provider, as its authorized official.

NPPES Registry Identity

NPI1174062673
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameCENTER FOR DERMATOLOGY, PLLC
Location Address14275 N 87TH ST, SUITE 109 & 110Scottsdale, AZ 85260-3696
Mailing Address14275 N 87th St, Suite 109 & 110Scottsdale, AZ 85260-3696 · (480) 905-8485 · Fax (480) 905-7274
Phone(480) 905-8485
Fax(480) 905-7274
Organization SubpartNo
Authorized OfficialGary MccrackenOwner/medical Provider · (480) 905-8485
Enumeration DateFebruary 16, 2017
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1174062673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 6627
14275 N 87TH ST, Scottsdale, AZ 85260
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2028950

Center For Dermatology-Scottsdale · Scottsdale, AZ
Active · expires Dec 13, 2026
CLIA Number03D2028950
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorAnthony Petelin
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology-Scottsdale14275 N 87th St Suite 110, Scottsdale, AZ 85260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2028877

Center For Dermatology & Plastic Surgery Fountain Hills · Fountain Hills, AZ
Active · expires Feb 28, 2028
CLIA Number03D2028877
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorJeffrey M. Krase
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology & Plastic Surgery Fountain Hills16838 E Palisades Blvd Ste B124, Fountain Hills, AZ 85268
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2054440

Center For Dermatology, Pllc-Chandler · Chandler, AZ
Active · expires Feb 26, 2028
CLIA Number03D2054440
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorAnthony J. Petelin
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology, Pllc-Chandler10440 E Riggs Rd, Ste 160, Chandler, AZ 85248
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2111120

Center For Dermatology, PLLC - Glendale · Glendale, AZ
Active · expires Mar 28, 2027
CLIA Number03D2111120
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorLara Rosenbaum
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology, PLLC - Glendale6316 W Union Hills Dr Ste 200, Glendale, AZ 85308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2111126

Center For Dermatology, Pc-Gilbert · Gilbert, AZ
Active · expires Mar 28, 2027
CLIA Number03D2111126
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorJames B. Young
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology, Pc-Gilbert3530 S Val Vista Dr, Ste 109, Gilbert, AZ 85297
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 03D2111128

Center For Dermatology, Pc-Casa Grande · Casa Grande, AZ
Active · expires Mar 28, 2027
CLIA Number03D2111128
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorJames B. Young
Laboratory Phone(480) 905-8485
Laboratory LocationCenter For Dermatology, Pc-Casa Grande1890 E Florence Blvd, Ste 4, Casa Grande, AZ 85122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

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

DR. BARBARA K KENT D.D.S.
Dentist
14275 N 87TH ST, SUITE 215
SCOTTSDALE, AZ 85260
Maricopa County (480) 227-3332
DR. TREVOR R THOMPSON M.D.
Dermatology
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
KARA SUE GOODING PA C
Physician Assistant
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
FIONA MILLIE BLUNT PA-C
Physician Assistant (Medical)
14275 N 87TH ST, SUITE 109 & 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
KARIN DANELLE MACHNAU MD
Dermatology
14275 N 87TH ST, STE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
REENA D. JAIN PA-C
Physician Assistant (Medical)
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
DR. GARY ANTHONY MCCRACKEN M.D.
Dermatology
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485
SOPHIA WAI AU STENGER PA-C
Physician Assistant
14275 N 87TH ST, STE 110
SCOTTSDALE, AZ 85260
Maricopa County (480) 905-8485

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 Center For Dermatology, PLLC's NPI number?

The NPI number for Center For Dermatology, PLLC is 1174062673. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Center For Dermatology, PLLC located?

Center For Dermatology, PLLC is located at 14275 N 87th St Suite 109 & 110, Scottsdale, AZ 85260. The listed phone number is (480) 905-8485.

What is Center For Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Center For Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Center For Dermatology, PLLC was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.