OrganizationActive
Actinodermatology Ltd
NPI 1063695252 · Dermatology Physician · Tempe, AZ
Actinodermatology Ltd is a Dermatology Physician organization in Tempe, AZ (NPI 1063695252).
Provider details
- NPI number
- 1063695252
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Ponitch, President(480) 839-1767
- License
- 7979 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2600 E Southern Ave
#a-2
Tempe, AZ 85282-7610
Phone: (480) 839-1767
Street-level locationGet directions
Mailing address
2600 E Southern Ave
Tempe, AZ 85282-7610
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2010-04-01
Frequently asked questions
- What is Actinodermatology Ltd's NPI number?
- Actinodermatology Ltd's National Provider Identifier (NPI) is 1063695252, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Actinodermatology Ltd?
- Actinodermatology Ltd is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Actinodermatology Ltd located?
- Actinodermatology Ltd's practice location on file with NPPES is 2600 E Southern Ave, Tempe, AZ 85282-7610.
- What is Actinodermatology Ltd's phone number?
- The practice phone number listed in the NPPES registry for Actinodermatology Ltd is (480) 839-1767.
- Who is the authorized official for Actinodermatology Ltd?
- The authorized official listed on Actinodermatology Ltd's NPPES record is Jerry Ponitch, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Actinodermatology Ltd's NPI active?
- Yes — Actinodermatology Ltd's NPI (1063695252) is active in the NPPES registry as of the last update on 2010-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.