Phoenix Skin II PC
Phoenix Skin II PC is a healthcare organization registered as Dermatology Physician in Phoenix, AZ, holding Type 2 (organization) NPI 1609078997 since 2007. The authorized official on file is Lee Laris, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609078997 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phoenix Skin II PC |
| Other name | <Unavail> |
| Practice address | 5056 N CENTRAL AVE, Phoenix, AZ, 85012 |
| Phone | 6022229111 |
| Fax | 6022775111 |
| Enumeration date | 2007-05-31 |
| Last updated in NPPES | 2023-12-12 |
Authorized official
| Name | Lee Laris |
|---|---|
| Title | Physician |
| Phone | 6022229111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Phoenix Skin II PC NPI: 1609078997 Taxonomy: 207N00000X (Dermatology Physician) Address: 5056 N CENTRAL AVE, Phoenix, AZ, 85012
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386648350 | Gerald Rosenblum | Individual | Dermatology Physician | Phoenix, AZ |
| 1649274671 | Lee Laris | Individual | Dermatology Physician | Phoenix, AZ |
| 1306840707 | Michael Richards | Individual | Physician Assistant | Phoenix, AZ |
| 1265426910 | John Stathakis | Individual | Dermatology Physician | Phoenix, AZ |
| 1265573810 | Katherine Haworth | Individual | Physician Assistant | Phoenix, AZ |
| 1912280918 | Elizabeth Walter | Individual | Medical Physician Assistant | Phoenix, AZ |
| 1518389857 | Teresa Hunt | Individual | Physician Assistant | Phoenix, AZ |
| 1952793408 | Nichelle Madden | Individual | Dermatology Physician | Phoenix, AZ |
Verify this record
Cross-check NPI 1609078997 against the authoritative CMS record: view Phoenix Skin II PC 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 type of organization is Phoenix Skin II PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-12-12.