PARADISE VALLEY DERMATOLOGY
NPI 1962684530
Specialist in Phoenix, AZ
NPI Status: Active since December 05, 2007
Contact Information
12251 N 32ND ST
PHOENIX, AZ
ZIP 85032
Phone: (602) 971-0950
- Organization
- Specialist
- CLIA Number: 03D0528263
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-06-2025
About PARADISE VALLEY DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Paradise Valley Dermatology, a provider established in Phoenix, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1962684530 assigned on December 2007. The practitioner's primary taxonomy code is 174400000X with license number 32353 (AZ). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Paradise Valley Dermatology. The authorized official of this NPI record is Dr. Mark A Blair M.d. (Owner)
- NPI
- 1962684530
- Provider Legal Name
- MARK A BLAIR MD PC
- Other Organization Name
- PARADISE VALLEY DERMATOLOGY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12251 N 32ND ST PHOENIX, AZ 85032
- Location Phone
- (602) 971-0950
- Mailing Address
- 12251 N 32ND ST PHOENIX, AZ 85032
- Mailing Phone
- (602) 971-0950
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2007
- Last Update Date
- 12-11-2007
- Code Navigator
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 32353
- License State
- AZ
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z79349 | MEDICARE PIN (08) | AZ |
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
- 03D0528263
- Facility Type
- Independent
- Certificate Effective Date
- July 07, 2023
- Certificate Expiration Date
- July 06, 2025
- Laboratory Director
- MARK BLAIR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Paradise Valley 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 PARADISE VALLEY DERMATOLOGY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 6 | 8 | 4 | 5 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 12 | 8 | 8 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 2 + 8 + 8 + 5 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1962684530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. THANMAYA R BLAIR MD
Radiology
(Diagnostic Radiology)
12251 N 32ND ST
SUITE 12
PHOENIX, AZ
ZIP 85032
DR. THEODORE CLYDE CARNER MD
Dermatology
12251 N 32ND ST
PHOENIX, AZ
ZIP 85032
SCOTT E. TROPPER MD
Specialist
12251 N 32ND ST
STE 12
PHOENIX, AZ
ZIP 85032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962684530, enumerated as an "organization" on December 05, 2007.
The provider is located at 12251 N 32ND ST PHOENIX, AZ 85032 and the phone number is (602) 971-0950.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
