OrganizationActive
District Medical Group, Inc
NPI 1972836088 · Dermatology Physician · Phoenix, AZ
Provider details
- NPI number
- 1972836088
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- District Medical Group, Inc
- Organization subpart
- Yes
- Authorized official
- Teresa Cordeiro, Credentialing Director(602) 470-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2601 E Roosevelt St
Dermatology
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Street-level locationGet directions
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2014-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.