Individual Healthcare Provider
Jenna Wald, MD
Provider's NPPES record last updated: June 20, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003159872
- Primary Specialty
- Dermatology — MOHS-Micrographic Surgery
- Practice Location
- Mesa, Arizona
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:51 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Taxonomy code 207ND0101X
Provider-Reported License Information
- Dermatology (Arizona)
- 58462
Practice Locations
Practice Location
4540 E Baseline Rd Ste 109
Mesa, Arizona 85206-4616
Phone: (480) 982-3337
Additional Practice Location
10503 W Thunderbird Blvd Ste 114
Sun City, Arizona 85351-3047
Phone: (623) 466-8585
Fax: (480) 497-4580
Additional Practice Location
1343 N Alma School Rd Ste 135
Chandler, Arizona 85224-5941
Phone: (480) 982-3337
Fax: (480) 497-4580
Additional Practice Location
6724 S Kings Ranch Rd Ste 104
Gold Canyon, Arizona 85118-2962
Phone: (480) 982-3337
Fax: (480) 497-4580
Additional Practice Location
2150 S Dobson Rd Ste 1
Mesa, Arizona 85202-6487
Phone: (480) 820-9774
Fax: (480) 897-0820
Additional Practice Location
1821 N Trekell Rd Ste 2
Casa Grande, Arizona 85122-1705
Phone: (520) 374-2462
Fax: (520) 374-2467
Additional Practice Location
3400 E Mcdowell Rd
Phoenix, Arizona 85008-3884
Phone: (480) 681-3300
Fax: (480) 681-3301
Record Information
- Enumeration Date
- March 31, 2013
- Provider's NPPES Record Last Updated
- June 20, 2022
- Certification Date
- November 17, 2021
- NPISignal NPPES Dataset
- August 2026
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