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AZ DERMATOLOGY LLC
NPI 1508035411
Dermatology in Mesa, AZ

Active since February 25, 2008
4540 E BASELINE RD STE 109, MESA, AZ 85206(480) 982-3337(520) 374-2467 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Jun 5, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Az Dermatology Llc NPPES

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

AZ DERMATOLOGY LLC (NPI 1508035411) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since February 2008. The organization maintains 4 additional practice locations and lists Jayshri Gamoth, President, as its authorized official.

NPPES Registry Identity

NPI1508035411
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAZ DERMATOLOGY LLC
Location Address4540 E BASELINE RD STE 109Mesa, AZ 85206-4616
Mailing Address4540 E Baseline Rd Ste 109Mesa, AZ 85206-4616 · (480) 982-3337 · Fax (480) 497-4580
Phone(480) 982-3337
Fax(520) 374-2467
Organization SubpartNo
Authorized OfficialJayshri GamothPresident · (480) 982-3337
Enumeration DateFebruary 25, 2008
Last NPPES UpdateOctober 2, 20204 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1508035411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
4540 E BASELINE RD STE 109, Mesa, AZ 85206
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Secondary Practice Locations 4

Location 110503 W Thunderbird Blvd Ste 114Sun City, AZ 85351-3047 · Phone (623) 466-8585
Location 21343 N Alma School Rd # 135Chandler, AZ 85224-5941 · Phone (480) 982-3337 · Fax (480) 497-4580
Location 36724 S Kings Ranch Rd # 104Gold Canyon, AZ 85118-2962 · Phone (480) 982-3337 · Fax (480) 497-4580
Location 41821 N Trekell Rd, Ste 7Casa Grande, AZ 85122-1705 · Phone (520) 374-2462 · Fax (520) 374-2467

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc..Insurance ›

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.

JENNA WALD MD
Dermatology (MOHS-Micrographic Surgery)
4540 E BASELINE RD STE 109
MESA, AZ 85206
Maricopa County (480) 982-3337
MR. NOHE SEBHATU NP
Nurse Practitioner
4540 E BASELINE RD STE 109
MESA, AZ 85206
Maricopa County (480) 982-3337
MS. JAYSHRI GAMOTH MD
Dermatology
4540 E BASELINE RD STE 109
MESA, AZ 85206
Maricopa County (480) 982-3337

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 Az Dermatology LLC's NPI number?

The NPI number for Az Dermatology LLC is 1508035411. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Az Dermatology LLC located?

Az Dermatology LLC is located at 4540 E Baseline Rd Ste 109, Mesa, AZ 85206. The listed phone number is (480) 982-3337.

What is Az Dermatology LLC's specialty?

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

What insurance does Az Dermatology LLC accept?

Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Az Dermatology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Az Dermatology LLC was last updated on October 2, 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.