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AZ DERMATOLOGY
NPI 1962737965
Specialist in Maricopa, AZ

Active since October 08, 2009
21300 N JOHN WAYNE PKWY, SUITE 112, MARICOPA, AZ 85139(520) 374-2462(520) 374-2467 Get Directions Write a Review

NPPES record last updated: October 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Az Dermatology NPPES

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

AZ DERMATOLOGY (NPI 1962737965) is a healthcare organization registered as a specialist in Maricopa, Arizona and active in the NPI registry since October 2009. The organization lists Jayshri Gamoth, Owner, as its authorized official.

NPPES Registry Identity

NPI1962737965
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAZ DERMATOLOGY
Location Address21300 N JOHN WAYNE PKWY, SUITE 112Maricopa, AZ 85139-8979
Mailing Address1821 N Trekell Rd, Suite 5Casa Grande, AZ 85122-1705 · (520) 374-2462 · Fax (520) 374-2467
Phone(520) 374-2462
Fax(520) 374-2467
Organization SubpartNo
Authorized OfficialJayshri GamothOwner · (520) 374-2462
Enumeration DateOctober 8, 2009
✔ NPI 1962737965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 36353
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.
21300 N JOHN WAYNE PKWY, Maricopa, AZ 85139
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

VIDAL MEDICAL OFFICE PLC
Family Medicine (Adult Medicine)
21300 N JOHN WAYNE PKWY, UNIT 116 BLDG 7
MARICOPA, AZ 85139
Pinal County (520) 423-9699
SOUTHWESTERN PEDIATRICS LLC
Nurse Practitioner (Family)
21300 N JOHN WAYNE PKWY, STE 109
MARICOPA, AZ 85139
Pinal County (520) 568-9500
SLD LLC
Dentist (General Practice)
21300 N JOHN WAYNE PKWY, STE 108
MARICOPA, AZ 85139
Pinal County (520) 494-7578
MS. DEBRA SUSKIN GION LPC
Counselor (Professional)
21300 N JOHN WAYNE PKWY, SUITE 120
MARICOPA, AZ 85139
Pinal County (520) 858-6262
KENDALL ALEXANDER CARR PT, DPT
Physical Therapist
21300 N JOHN WAYNE PKWY
MARICOPA, AZ 85139
Pinal County (520) 868-6100
GARRETT JOHNSON PT
Physical Therapist
21300 N JOHN WAYNE PKWY, SUITE 107
MARICOPA, AZ 85139
Pinal County (520) 868-6100
ATOS DERMATOPATHOLOGY PLLC
Dermatology (Dermatopathology)
21300 N JOHN WAYNE PKWY, #116
MARICOPA, AZ 85139
Pinal County (312) 502-9389
MR. THOMAS K SPRAY PT
Physical Therapist
21300 N JOHN WAYNE PKWY, SUITE 107
MARICOPA, AZ 85139
Pinal County (520) 868-6100

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 Az Dermatology's NPI number?

The NPI number for Az Dermatology is 1962737965. It was assigned to this organization in the NPPES registry on October 8, 2009.

Where is Az Dermatology located?

Az Dermatology is located at 21300 N John Wayne Pkwy Suite 112, Maricopa, AZ 85139. The listed phone number is (520) 374-2462.

What is Az Dermatology'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 Az Dermatology was last updated on October 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.