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GARY LEE WADDINGTON MD NPI 1033103643


NPI Information

NPI: 1033103643
Provider Name: GARY LEE WADDINGTON, MD
Classification: Dermatology - 207N00000X
Entity Type: Individual
Address:
14239 W BELL RD
SUITE 101
SURPRISE, AZ
ZIP 85374
Phone: (623) 544-7755
Get Directions

Gary Lee Waddington, MD is a dermatology in Surprise, AZ. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Gary Lee Waddington, MD NPI is 1033103643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14239 W BELL RD
SUITE 101
SURPRISE, AZ
ZIP 85374-469
Phone: (623) 544-7755
Fax: (623) 544-8665

The enumeration date for this NPI number is 9/9/2005 and was last updated on 5/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KA0200XAllergy & ImmunologyAllergy12916ARIZONANo
2207K00000XAllergy & Immunology12916ARIZONANo
3207NI0002XDermatologyClinical & Laboratory Dermatological Immunology12916ARIZONANo
4207NS0135XDermatologyProcedural Dermatology12916ARIZONANo
5207ND0900XDermatologyDermatopathology12916ARIZONANo
6207ND0101XDermatologyMOHS-Micrographic Surgery12916ARIZONANo
7207NP0225XDermatologyPediatric Dermatology12916ARIZONANo
8207N00000XDermatology12916ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D00524MEDICARE UPIN
207WCHBH03MEDICARE PINARIZONA
307WCKGC03MEDICARE PINARIZONA
407WCKGD03MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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