Actinodermatology Ltd
Actinodermatology Ltd is a healthcare organization registered as Dermatology Physician in Tempe, AZ, holding Type 2 (organization) NPI 1063695252 since 2007. The authorized official on file is Jerry Ponitch, President.
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| NPI | 1063695252 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Actinodermatology Ltd |
| Practice address | 2600 E SOUTHERN AVE, #A-2, Tempe, AZ, 85282 |
| Phone | 4808391767 |
| Enumeration date | 2007-12-11 |
| Last updated in NPPES | 2010-04-01 |
Authorized official
| Name | Jerry Ponitch |
|---|---|
| Title | President |
| Phone | 4808391767 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | 7979 | AZ |
Copy-ready billing details
Provider: Actinodermatology Ltd NPI: 1063695252 Taxonomy: 207N00000X (Dermatology Physician) Address: 2600 E SOUTHERN AVE, #A-2, Tempe, AZ, 85282
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174525448 | John Fletcher | Individual | General Practice Dentistry | Tempe, AZ |
| 1013916659 | Nicolas Gonzalez | Individual | Pediatrics Physician | Tempe, AZ |
| 1245223833 | Kimberly Bader | Individual | Internal Medicine Physician | Tempe, AZ |
| 1922078526 | Gordon Genta | Individual | Specialist | Tempe, AZ |
| 1801846001 | Michael J Tingey MD PC | Organization | Internal Medicine Physician | Tempe, AZ |
| 1053352260 | John Kilian | Individual | Specialist | Tempe, AZ |
| 1235168329 | Karen L Leber, MD | Organization | Internal Medicine Physician | Tempe, AZ |
| 1598774176 | St Marks Medical | Organization | Internal Medicine Physician | Tempe, AZ |
Verify this record
Cross-check NPI 1063695252 against the authoritative CMS record: view Actinodermatology Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Actinodermatology Ltd?
Who is the authorized official for Actinodermatology Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-04-01.