ADVANCED DESERT DERMATOLOGY – NPI #1003204975
Dermatology

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

ADVANCED DESERT DERMATOLOGY is a dermatologist located in PEORIA, AZ. NPPES has assigned the NPI number 1003204975 to ADVANCED DESERT DERMATOLOGY on December 31, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED DESERT DERMATOLOGY” is a dba name, the actual legal business name for this organization is VERNON T MACKEY, PC. The primary taxonomy selected by this provider is 207NI0002X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Clinical & Laboratory Dermatological Immunology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED DESERT DERMATOLOGY below.

NPI Profile for
VERNON T MACKEY, PC

NPI Number
1003204975
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VERNON T MACKEY, PC
Doing Business As (dba): ADVANCED DESERT DERMATOLOGY
Primary location
9191 W THUNDERBIRD RD STE D101
PEORIA, AZ 85381-4270
Phone: (623) 977-6700 Fax: (623) 977-6771
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHELLY MACKEY
MANAGER
Phone: (623) 977-6700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NI0002X
- Dermatology / Clinical & Laboratory Dermatological Immunology (Primary)
AZ 3535

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.