OrganizationActive
Southwest Mobile Dermatology PLC
NPI 1881235489 · Dermatology Physician · Phoenix, AZ
Southwest Mobile Dermatology PLC is a Dermatology Physician organization in Phoenix, AZ (NPI 1881235489).
Provider details
- NPI number
- 1881235489
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Stathakis, Owner(602) 672-3675
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
11034 N 23rd Dr # 105b
Phoenix, AZ 85029-4743
Phone: (480) 330-5840
Street-level locationGet directions
Mailing address
11034 N 23rd Dr # 105b
Phoenix, AZ 85029-4743
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-10-04
Frequently asked questions
- What is Southwest Mobile Dermatology PLC's NPI number?
- Southwest Mobile Dermatology PLC's National Provider Identifier (NPI) is 1881235489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Mobile Dermatology PLC?
- Southwest Mobile Dermatology PLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southwest Mobile Dermatology PLC located?
- Southwest Mobile Dermatology PLC's practice location on file with NPPES is 11034 N 23rd Dr # 105b, Phoenix, AZ 85029-4743.
- What is Southwest Mobile Dermatology PLC's phone number?
- The practice phone number listed in the NPPES registry for Southwest Mobile Dermatology PLC is (480) 330-5840.
- Who is the authorized official for Southwest Mobile Dermatology PLC?
- The authorized official listed on Southwest Mobile Dermatology PLC's NPPES record is John Stathakis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Mobile Dermatology PLC's NPI active?
- Yes — Southwest Mobile Dermatology PLC's NPI (1881235489) is active in the NPPES registry as of the last update on 2019-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.