Arizona Institute of Dermatology Payson LLC
NPI 1093416893ActiveOrganization· Dermatology· Payson, AZ
Dermatology in Payson, Arizona, registered in NPPES in March 2023. The authorized official on file is Christopher Ugochukwu Ugorji Rex, Owner/Provider. Enrolled in Medicare as dme supplier - physician - dermatology and part b supplier - clinic/group practice.
Overview
| NPI | 1093416893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2023 |
| Last updated in NPPES | May 7, 2026 |
| Certified by provider | May 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Dermatology (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Dermatology providers in Payson
- 1083054571