Phoenix Skin II PC
NPI 1609078997ActiveOrganization· Dermatology· Phoenix, AZ
Dermatology in Phoenix, Arizona, registered in NPPES in May 2007. The authorized official on file is Lee P. Laris, DO, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609078997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2007 |
| Last updated in NPPES | Dec 12, 2023 |
| Certified by provider | Dec 12, 2023 |
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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