INTEGRATED DERMATOLOGY OF MESA PLLC
NPI 1922378850
Dermatology in Mesa, AZ

Active since January 10, 2012
130 S 63RD ST, SUITE 114, MESA, AZ 85206(480) 981-2888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integrated Dermatology Of Mesa Pllc NPPES

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

INTEGRATED DERMATOLOGY OF MESA PLLC (NPI 1922378850) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since January 2012. The organization lists Gerard Christopher, Coo, as its authorized official.

NPPES Registry Identity

NPI1922378850
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF MESA PLLC
Location Address130 S 63RD ST, SUITE 114Mesa, AZ 85206-1620
Mailing Address902 Clint Moore Rd, Suite 226Boca Raton, FL 33487-2800 · (561) 314-2000 · Fax (561) 989-3665
Organization SubpartNo
Authorized OfficialGerard ChristopherCoo · (561) 314-2000
Enumeration DateJanuary 10, 2012
Last NPPES UpdateJuly 21, 2022
NPI 1922378850 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.
130 S 63RD ST, Mesa, AZ 85206

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

Other Providers at the Same Location NPPES 7

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

Urology
130 S 63RD ST, SUITE #101
MESA, AZ 85206
Nurse Practitioner
130 S 63RD ST, BLDG 3 SUITE 114
MESA, AZ 85206
Pediatrics
130 S 63RD ST
MESA, AZ 85206
Nurse Practitioner (Acute Care)
130 S 63RD ST, STE 106
MESA, AZ 85206
Urology
130 S 63RD ST, SUITE #101
MESA, AZ 85206
Family Medicine
130 S 63RD ST
MESA, AZ 85206
Dermatology
130 S 63RD ST, BLDG 3 STE 114
MESA, AZ 85206

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 Integrated Dermatology Of Mesa PLLC's NPI number?

The NPI number for Integrated Dermatology Of Mesa PLLC is 1922378850. It was assigned to this organization in the NPPES registry on January 10, 2012.

Where is Integrated Dermatology Of Mesa PLLC located?

Integrated Dermatology Of Mesa PLLC is located at 130 S 63rd St Suite 114, Mesa, AZ 85206. The listed phone number is (480) 981-2888.

What is Integrated Dermatology Of Mesa PLLC'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 Integrated Dermatology Of Mesa PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.