Center for Dermatology, PLLC
NPI 1194792416ActiveOrganization· Dermatology· Scottsdale, AZ
Dermatology in Scottsdale, Arizona, registered in NPPES in March 2006. The authorized official on file is Gary Anthony McCracken, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194792416 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2006 |
| Last updated in NPPES | Feb 13, 2026 |
| Certified by provider | Feb 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 45164 | AZ |
| Dermatology, Dermatopathology | 207ND0900X | 48145 | AZ |
| Dermatology, Pediatric Dermatology | 207NP0225X | — | — |
| Plastic Surgery | 208200000X | — | — |
| Radiology, Radiation Oncology | 2085R0001X | — | — |
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 Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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