Northern Arizona Dermatology Center PC
NPI 1962558569ActiveOrganization· Dermatology· Flagstaff, AZ
Dermatology in Flagstaff, Arizona, registered in NPPES in January 2007. The authorized official on file is Sara Joy Risner-Rumohr, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962558569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 Flagstaff
- 1053640151
- 1477748069
- 1225054240
- 1760408785
- 1487117867
- 1881629376
- 1013170695
- 1922319334
- 1528011368