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JM DERMATOLOGY
NPI 1922564707
Specialist in Prescott Valley, AZ

Active since February 16, 2019
3198 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314(928) 202-4143(928) 233-8917 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2019, Feb 20, 2019, Feb 16, 2019 (3 updates tracked since 2019).

About Jm Dermatology NPPES

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

JM DERMATOLOGY (NPI 1922564707) is a healthcare organization registered as a specialist in Prescott Valley, Arizona and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Prescott and lists Debra Moreland, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1922564707
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMACHUZAK DERMATOLOGY PLLC
Location Address3198 N WINDSONG DRPrescott Valley, AZ 86314-2239
Mailing Address3198 N Windsong DrPrescott Valley, AZ 86314-2239 · (928) 202-4143 · Fax (928) 233-8917
Phone(928) 202-4143
Fax(928) 233-8917
Organization SubpartNo
Authorized OfficialDebra MorelandPractice Manager · (480) 621-2070
Enumeration DateFebruary 16, 2019
Last NPPES UpdateMay 23, 20193 updates tracked since enumeration
✔ NPI 1922564707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3198 N WINDSONG DR, Prescott Valley, AZ 86314
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Other Names 1

Doing Business AsJm Dermatology

Secondary Practice Location 1

Location 13124 Willow Creek RdPrescott, AZ 86301-6610 · Phone (928) 202-4143 · Fax (928) 233-8917

Other Identifiers 1

Medicaid453107AZ

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 2

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

HONORHEALTH AMBULATORY
Internal Medicine (Cardiovascular Disease)
3198 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (623) 683-7555
TOSHA A LARIOS DPM
Podiatrist (Primary Podiatric Medicine)
3198 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 925-7194

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 Machuzak Dermatology PLLC's NPI number?

The NPI number for Machuzak Dermatology PLLC is 1922564707. It was assigned to this organization in the NPPES registry on February 16, 2019. The provider is doing business as Jm Dermatology.

Where is Machuzak Dermatology PLLC located?

Machuzak Dermatology PLLC is located at 3198 N Windsong Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 202-4143.

What is Machuzak Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Machuzak Dermatology PLLC was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.