AFFILIATED DERMATOLOGY
NPI 1609291848
Dermatology in Phoenix, AZ

NPI Status: Active since February 25, 2014

Contact Information

19646 N 27TH AVE
STE 305
PHOENIX, AZ
ZIP 85027
Phone: (480) 556-0446

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 03D2168294
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-29-2026

About AFFILIATED DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Affiliated Dermatology, a provider established in Phoenix, Arizona operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1609291848 assigned on February 2014. The practitioner's primary taxonomy code is 207N00000X with license number 40537 (AZ). The provider is registered as an organization and their NPI record was last updated 12 years ago. Affiliated Dermatology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Affiliated Dermatology. The authorized official of this NPI record is Marlie Averitte (Cfo)

NPI
1609291848
Provider Legal Name
RICHARD LEE AVERITTE JR PLLC
Other Organization Name
AFFILIATED DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19646 N 27TH AVE STE 305 PHOENIX, AZ 85027
Location Phone
(480) 556-0446
Mailing Address
20401 N 73RD ST STE 230 SCOTTSDALE, AZ 85255
Mailing Phone
(480) 556-0446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2014
Last Update Date
02-25-2014
Code Navigator

A dermatologist like Affiliated Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
40537
License State
AZ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

40537 (AZ)
2207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

40537 (AZ)
3207NI0002XAllopathic & Osteopathic Physicians

Dermatology
Clinical & Laboratory Dermatological Immunology

40537 (AZ)
4207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

40537 (AZ)
5207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

40537 (AZ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARLIE AVERITTE

Authorized Official Title
CFO
Authorized Official Phone
(480) 556-0446

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2168294
Facility Type
Physician Office
Certificate Effective Date
July 30, 2024
Certificate Expiration Date
July 29, 2026
Laboratory Director
CHRISTINE C. LIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Affiliated Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for AFFILIATED DERMATOLOGY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609291848, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 4 + 9 + 2 + 8 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1609291848.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

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
Obstetrics & Gynecology (Gynecology)
19646 N 27TH AVE, STE 403
PHOENIX, AZ 85027
Nurse Practitioner
19646 N 27TH AVE, STE. # 403
PHOENIX, AZ 85027
Internal Medicine
19646 N 27TH AVE, SUITE 1301
PHOENIX, AZ 85027
Radiology (Diagnostic Radiology)
19646 N 27TH AVE, SUITE 205
PHOENIX, AZ 85027
Nurse Practitioner (Family)
19646 N 27TH AVE
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.