Center for Dermatology, PLLC
NPI 1174062673ActiveOrganization· Physician Assistant, Medical· Scottsdale, AZ
Physician Assistant, Medical in Scottsdale, Arizona, registered in NPPES in February 2017. The authorized official on file is Gary McCracken, MD, Owner/Medical Provider.
Overview
| NPI | 1174062673 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2017 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 6627 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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