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SOUTHWEST MOBILE DERMATOLOGY PLC
NPI 1881235489
Dermatology in Phoenix, AZ

Active since October 04, 2019
11034 N 23RD DR # 105B, PHOENIX, AZ 85029(480) 330-5840 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest Mobile Dermatology Plc NPPES

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

SOUTHWEST MOBILE DERMATOLOGY PLC (NPI 1881235489) is a healthcare organization registered as a dermatology in Phoenix, Arizona and active in the NPI registry since October 2019. The organization lists John Stathakis, Owner, as its authorized official.

NPPES Registry Identity

NPI1881235489
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHWEST MOBILE DERMATOLOGY PLC
Location Address11034 N 23RD DR # 105BPhoenix, AZ 85029-4743
Mailing Address11034 N 23rd Dr # 105bPhoenix, AZ 85029-4743 · (480) 330-5840
Phone(480) 330-5840
Organization SubpartNo
Authorized OfficialJohn StathakisOwner · (602) 672-3675
Enumeration DateOctober 4, 2019
✔ NPI 1881235489 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.
11034 N 23RD DR # 105B, Phoenix, AZ 85029
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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 MULTIPLE SINGLE SPECIALTY GROUP

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.

KRISTALLE C PAYANO PA-C
Physician Assistant (Medical)
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (602) 639-0189
MR. KYLE L KOSKI PA-C
Physician Assistant (Medical)
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (602) 639-0189
MISS ARUNDATHI P. NARAYANAPPA P.A.
Physician Assistant
11034 N 23RD DR # 105B
PHOENIX, AZ 85029
Maricopa County (602) 639-0189

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 Southwest Mobile Dermatology Plc's NPI number?

The NPI number for Southwest Mobile Dermatology Plc is 1881235489. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Southwest Mobile Dermatology Plc located?

Southwest Mobile Dermatology Plc is located at 11034 N 23rd Dr # 105B, Phoenix, AZ 85029. The listed phone number is (480) 330-5840.

What is Southwest Mobile Dermatology Plc's specialty?

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

When was this NPI record last updated?

The NPPES record for Southwest Mobile Dermatology Plc was last updated on October 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.