Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERREK GIANSIRACUSA
Active Sole ProprietorDERREK GIANSIRACUSA is a Dermatology healthcare provider located in GLENDALE, Arizona. NPI 1154023737 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GLENDALE, AZ
Registration Details
- NPI Number
- 1154023737
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2023 (3.2212711068812 yrs)
- Last Updated
- Mar 25, 2025
- License
-
011498 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11851 N 51ST AVE STE E130GLENDALE, AZ, 853042843Browse AZ providers · Browse ZIP 85304
- Phone
- 6232999540
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| JAMES FREDERICK PEHOUSHEK | MD MPH | 1104810720 |
| DR. RYAN A. STEVENS | M.D. | 1417279068 |
| LINDSEY N JOHNSON | DO | 1912696550 |
| CADEN CARVER | — | 1295595767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.