Provider Type Icon

ATOS DERMATOPATHOLOGY PLLC NPI 1508313602


NPI Information

NPI: 1508313602
Provider Name: ATOS DERMATOPATHOLOGY PLLC

Doing Business As: ADVOCATE DERMATOLOGY

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
21300 N JOHN WAYNE PKWY
#116
MARICOPA, AZ
ZIP 85139
Phone: (312) 502-9389
Get Directions

ATOS DERMATOPATHOLOGY PLLC is a dermatopathology dermatology in Maricopa, AZ. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. ATOS DERMATOPATHOLOGY PLLC NPI is 1508313602. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advocate Dermatology.

The provider's business location address is:

21300 N JOHN WAYNE PKWY
#116
MARICOPA, AZ
ZIP 85139-979
Phone: (312) 502-9389

The provider's authorized official is Carlos Frederico Rodriguez .
The authorized official title is Owner and has the following contact phone number (312) 502-9389.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.


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
1207ND0900XDermatologyDermatopathology42919ARIZONAYes

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
1867831MEDICAIDARIZONA

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: 11/14/2023

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.