Richard Lee Averitte Jr PLLC
NPI 1609291848ActiveOrganization· Dermatology· Phoenix, AZ
Dermatology in Phoenix, Arizona, registered in NPPES in February 2014. The authorized official on file is Marlie Averitte, Cfo.
Overview
| NPI | 1609291848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2014 |
| Last updated in NPPES | Feb 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 40537 | AZ |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | 40537 | AZ |
| Dermatology, Dermatopathology | 207ND0900X | 40537 | AZ |
| Dermatology, Clinical & Laboratory Dermatological Immunology | 207NI0002X | 40537 | AZ |
| Dermatology, Pediatric Dermatology | 207NP0225X | 40537 | AZ |
| Dermatology, Procedural Dermatology | 207NS0135X | 40537 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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