GRAND CANYON DERMATOLOGY PLLC
NPI 1982849691
Dermatology in Mesa, AZ

Active since December 09, 2008CLIA 03D2018247 · Certificate of Compliance
1150 N COUNTRY CLUB DR, SUITE 6, MESA, AZ 85201(480) 985-1093 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Canyon Dermatology Pllc NPPES

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

GRAND CANYON DERMATOLOGY PLLC (NPI 1982849691) is a healthcare organization registered as a dermatology in Mesa, Arizona and active in the NPI registry since December 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 29, 2028 and lists Howard J Donsky, President, as its authorized official.

NPPES Registry Identity

NPI1982849691
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDONSKY BOGLE DERMATOLOGY LLC
Location Address1150 N COUNTRY CLUB DR, SUITE 6Mesa, AZ 85201-2537
Mailing Address1150 N Country Club Dr, Suite 6Mesa, AZ 85201-2537 · (480) 985-1093
Organization SubpartNo
Authorized OfficialHoward J DonskyPresident · (480) 985-1093
Enumeration DateDecember 9, 2008
Last NPPES UpdateSeptember 22, 2011
NPI 1982849691 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.
1150 N COUNTRY CLUB DR, Mesa, AZ 85201

Other Names 1

Doing Business AsGrand Canyon Dermatology Pllc

Other Identifiers 1

Medicare PINZ127286AZ

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2018247

Grand Canyon Dermatology · Mesa, AZ
Active · expires Mar 29, 2028
CLIA Number03D2018247
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorHoward J. Donsky
Laboratory Phone(480) 962-1050
Laboratory LocationGrand Canyon Dermatology1150 North Country Club Dr, Ste 6, Mesa, AZ 85201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
1150 N COUNTRY CLUB DR, SUITE #6
MESA, AZ 85201
Dentist
1150 N COUNTRY CLUB DR, SUITE # 7
MESA, AZ 85201
Clinic/Center (Dental)
1150 N COUNTRY CLUB DR, SUITE 4
MESA, AZ 85201
Social Worker (Clinical)
1150 N COUNTRY CLUB DR, SUITE 10
MESA, AZ 85201
Dentist (General Practice)
1150 N COUNTRY CLUB DR, SUITE # 7
MESA, AZ 85201
Dental Hygienist
1150 N COUNTRY CLUB DR, STE 11
MESA, AZ 85201

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 Donsky Bogle Dermatology LLC's NPI number?

The NPI number for Donsky Bogle Dermatology LLC is 1982849691. It was assigned to this organization in the NPPES registry on December 9, 2008. The provider is doing business as Grand Canyon Dermatology PLLC.

Where is Donsky Bogle Dermatology LLC located?

Donsky Bogle Dermatology LLC is located at 1150 N Country Club Dr Suite 6, Mesa, AZ 85201. The listed phone number is (480) 985-1093.

What is Donsky Bogle Dermatology LLC's specialty?

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

Does Donsky Bogle Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2018247) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Donsky Bogle Dermatology LLC was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.