CENTER FOR DERMATOLOGY PLLC NPI 1174062673

NPI Information

  • NPI: 1174062673
  • Provider Name: CENTER FOR DERMATOLOGY, PLLC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Organization
  • CLIA Number: 03D2028877
  • Address: 14275 N 87TH ST
    SUITE 109 & 110
    SCOTTSDALE, AZ
    ZIP 85260
  • Phone: (480) 905-8485

Map and Directions

Get Directions

NPI Details

CENTER FOR DERMATOLOGY, PLLC is a medical physician assistant in Scottsdale, AZ. CENTER FOR DERMATOLOGY, PLLC NPI is 1174062673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14275 N 87TH ST
SUITE 109 & 110
SCOTTSDALE, AZ
ZIP 85260-696
Phone: (480) 905-8485
Fax: (480) 905-7274

The provider's authorized official is Gary Mccracken .
The authorized official title is Owner/medical Provider and has the following contact phone number (480) 905-8485.

The CLIA number assigned to this NPI record is 03D2028877 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/16/2017 and was last updated on 5/15/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical6627ARIZONAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI