ARIZONA DERMATOLOGY GROUP
NPI 1659467397
Dermatology in Prescott, AZ

Q: What is Arizona Associates In Dermatology And Cosmetic Surgery, LLC's specialty?

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

Active since October 04, 2006

830 AINSWORTH DR, PRESCOTT, AZ 86301(928) 776-0325(928) 776-0405 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2019, Mar 17, 2018, Jan 11, 2018 (3 updates tracked since 2018).

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About Arizona Dermatology Group NPPES

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

ARIZONA DERMATOLOGY GROUP (NPI 1659467397) is a healthcare organization registered as a dermatology in Prescott, Arizona and active in the NPI registry since October 2006. The organization maintains 3 additional practice locations and lists Amy Fajardo, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1659467397

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameARIZONA ASSOCIATES IN DERMATOLOGY AND COSMETIC SURGERY, LLC

Location Address830 AINSWORTH DRPrescott, AZ 86301-1630

Mailing Address830 Ainsworth DrPrescott, AZ 86301-1630 · (928) 776-0325 · Fax (928) 776-0405

Phone(928) 776-0325

Fax(928) 776-0405

Organization SubpartNo

Authorized OfficialAmy FajardoBilling/credentialing · (928) 777-5807

Enumeration DateOctober 4, 2006

Last NPPES UpdateApril 11, 20193 updates tracked since enumeration

✔ NPI 1659467397 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 · 29683

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 29683 (AZ)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 29683 (AZ)

Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 29683 (AZ)

Also ListedPlastic SurgeryTaxonomy 208200000X · License 48829 (AZ)

830 AINSWORTH DR, Prescott, AZ 86301

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Other Names 1

Doing Business AsArizona Dermatology Group

Secondary Practice Locations 3

Location 1203 S Candy Ln Ste 14Cottonwood, AZ 86326-4120 · Phone (928) 639-3387 · Fax (928) 634-0311

Location 22820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256 · Phone (928) 772-8553 · Fax (928) 772-3861

Location 318325 N Allied Way Ste 120Phoenix, AZ 85054-3107 · Phone (928) 776-0325 · Fax (928) 776-0405

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

CECILY KAE LUNT MSN, FNP

Nurse Practitioner