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PIMA DERMATOLOGY OFFICE BASED SURGERY
NPI 1376744847
Specialist in Tucson, AZ

Active since May 30, 2007CLIA 03D0532932 · Certificate of Compliance
5150 E GLENN ST, TUCSON, AZ 85712(520) 795-7729(520) 795-4177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pima Dermatology Office Based Surgery NPPES

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

PIMA DERMATOLOGY OFFICE BASED SURGERY (NPI 1376744847) is a healthcare organization registered as a specialist in Tucson, Arizona and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2028 and lists Gerald N Goldberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1376744847
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePIMA DERMATOLOGY OFFICE BASED SURGERY
Location Address5150 E GLENN STTucson, AZ 85712-1337
Mailing Address5150 E Glenn StTucson, AZ 85712-1337 · (520) 795-7729 · Fax (520) 795-4177
Phone(520) 795-7729
Fax(520) 795-4177
Organization SubpartNo
Authorized OfficialGerald N GoldbergOwner · (520) 795-7729
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376744847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 11394
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5150 E GLENN ST, Tucson, AZ 85712
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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

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 03D0532932

Pima Dermatology PC · Tucson, AZ
Active · expires Mar 23, 2028
CLIA Number03D0532932
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorSarah E. Schram
Laboratory Phone(520) 795-7729
Laboratory LocationPima Dermatology PC5150 East Glenn Street, Tucson, AZ 85712
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.

Other Providers at the Same Location NPPES 8

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

JENNIFER A ALLISON PA
Physician Assistant
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
LIZA S BYRNE PA-C
Physician Assistant (Medical)
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
ALEKSI HENDRICKS MD
Dermatology
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
DR. AMY GARCIA SINGH MD
Dermatology
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
PIMA DERMATOLOGY PC
Specialist
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
DR. MATTHEW WILLIAM BEAL MD
Dermatology
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
MRS. COLLEEN MCAFEE SCHRANT FNP-C
Nurse Practitioner (Family)
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729
DR. GERALD NORMAN GOLDBERG M.D.
Dermatology
5150 E GLENN ST
TUCSON, AZ 85712
Pima County (520) 795-7729

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 Pima Dermatology Office Based Surgery's NPI number?

The NPI number for Pima Dermatology Office Based Surgery is 1376744847. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Pima Dermatology Office Based Surgery located?

Pima Dermatology Office Based Surgery is located at 5150 E Glenn St, Tucson, AZ 85712. The listed phone number is (520) 795-7729.

What is Pima Dermatology Office Based Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Pima Dermatology Office Based Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D0532932) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pima Dermatology Office Based Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.