Saguaro Dermatology Associates LLC
NPI 1114485646ActiveOrganization· Dermatology· Phoenix, AZ
Dermatology in Phoenix, Arizona, registered in NPPES in March 2019. The authorized official on file is Dathan Hamann, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114485646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2019 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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