Red Mountain Dermatology LLC
NPI 1205542560ActiveOrganization· Dermatology· Goodyear, AZ
Dermatology in Goodyear, Arizona, registered in NPPES in January 2023. The authorized official on file is Ryan K. Bingham, Owner/Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205542560 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2023 |
| Last updated in NPPES | Jan 30, 2023 |
| Certified by provider | Jan 30, 2023 |
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 Part B Supplier - Clinic/Group Practice (AZ) |
|---|
Other Dermatology providers in Goodyear
- 1306369996
- 1083662662
- 1316054398
- 1013044999
- 1689424673