Ahwatukee Dermatology LLC
NPI 1962699512ActiveOrganization· Dermatology· Phoenix, AZ
Dermatology in Phoenix, Arizona, registered in NPPES in September 2007. The authorized official on file is Sarah E. Neumann, MMS, PA-C, Manager.
Overview
| NPI | 1962699512 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2007 |
| Last updated in NPPES | Sep 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 15963 | AZ |
| Physician Assistant, Medical | 363AM0700X | 2590 | AZ |
| Nurse Practitioner, Adult Health | 363LA2200X | 151 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Phoenix
- 1891702957
- 1558109371
- 1790732832
- 1770519019
- 1376859066
- 1134165657
- 1225175441
- 1659627370
- 1790020295
- 1407058324
- 1386836351
- 1972836088