AFFILIATED DERMATOLOGY
NPI 1609291848
Dermatology in Phoenix, AZ

Active since February 25, 2014CLIA 03D2168294 · Certificate of Compliance
19646 N 27TH AVE, STE 305, PHOENIX, AZ 85027(480) 556-0446 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Affiliated Dermatology NPPES

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

AFFILIATED DERMATOLOGY (NPI 1609291848) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since February 2014. The organization holds a CLIA Certificate of Compliance certificate valid through July 29, 2026 and lists Marlie Averitte, Cfo, as its authorized official.

NPPES Registry Identity

NPI1609291848
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRICHARD LEE AVERITTE JR PLLC
Location Address19646 N 27TH AVE, STE 305Phoenix, AZ 85027-4017
Mailing Address20401 N 73rd St, Ste 230Scottsdale, AZ 85255-4107 · (480) 556-0446
Organization SubpartNo
Authorized OfficialMarlie AveritteCfo · (480) 556-0446
Enumeration DateFebruary 25, 2014
NPI 1609291848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AZ · 40537
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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 40537 (AZ)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 40537 (AZ)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 40537 (AZ)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 40537 (AZ)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 40537 (AZ)
19646 N 27TH AVE, Phoenix, AZ 85027

Other Names 1

Doing Business AsAffiliated Dermatology

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

Accepted Insurance

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 03D2168294

Richard Lee Averitte Jr PLLC Dba Affiliated Dermatology · Tempe, AZ
Active · expires Jul 29, 2026
CLIA Number03D2168294
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorChristine C. Lin
Laboratory Phone(480) 556-0446
Laboratory LocationRichard Lee Averitte Jr PLLC Dba Affiliated Dermatology2127 E Baseline Rd Ste 104, Tempe, AZ 85283
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 13

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

Clinic/Center (Medical Specialty)
19646 N 27TH AVE, SUITE 408
PHOENIX, AZ 85027
Clinic/Center (Radiology)
19646 N 27TH AVE, SUITE 205
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19646 N 27TH AVE, STE. 205
PHOENIX, AZ 85027
Medical Genetics (Clinical Genetics (M.D.))
19646 N 27TH AVE, STE. 201
PHOENIX, AZ 85027
Internal Medicine (Gastroenterology)
19646 N 27TH AVE, SUITE 301 DR. SUBBIAH-GASTROENTEROLOGY (CARE FOR WOMEN)
PHOENIX, AZ 85027
Nurse Practitioner (Family)
19646 N 27TH AVE, SUITE 301
PHOENIX, AZ 85027
Dermatology (Dermatopathology)
19646 N 27TH AVE, SUITE 305
PHOENIX, AZ 85027
Internal Medicine (Hematology & Oncology)
19646 N 27TH AVE, STE. # 406
PHOENIX, AZ 85027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609291848, enumerated as an "organization" on February 25, 2014.

The provider is located at 19646 N 27TH AVE STE 305 PHOENIX, AZ 85027 and the phone number is (480) 556-0446.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.