MARK GORALEWSKI (NPI# 1013395961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013395961 |
| Entity Type | Individual |
| Full Name | MARK GORALEWSKI |
| Credential | MD |
| Practice Address |
14801 Farmington Rd Livonia MI 48154-5429 |
| Practice Telephone | 7345428100 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301108000 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 W University Dr, 3-north, Rochester, MI 483071863 | 2489416857 |
| Street Address |
14801 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982716114 | Meena Moossavi | Dermatology | 14801 Farmington Rd, Livonia, MI 48154 | 2006-09-01 |
| 1457406217 | Livonia Dermatology Pllc | Dermatology | 14801 Farmington Rd, Livonia, MI 48154-5429 | 2007-01-24 |
| 1932201183 | David Pegouske | Dermatology | 14801 Farmington Rd, Livonia, MI 48154 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982716114 | Meena Moossavi | Dermatology | 14801 Farmington Rd, Livonia, MI 48154 | 2006-09-01 |
| 1316050388 | Audrey J Bruell | Dermatology | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2006-08-16 |
| 1790705044 | Andrew J Mitchell | Dermatology | 20234 Farmington Rd, Livonia, MI 48152-1412 | 2006-07-20 |
| 1942688452 | Anne Nguyen | Dermatology | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2015-05-16 |
| 1528407913 | Kristy Bojazi Charles | Dermatology | 19900 Haggerty Road, Suite 105, Livonia, MI 48152 | 2013-06-18 |
| 1952643264 | Milad J Eshaq | Dermatology | 19900 Haggerty Road, Suite 105, Livonia, MI 48152 | 2013-03-25 |
| 1710140785 | Stephanie Diamond | Dermatology | 16826 Newburgh Rd, Livonia, MI 48154 | 2008-07-09 |
| 1306965983 | Audrey Bruell, M.d. P.C. | Dermatology | 37605 Pembroke Ave, James James Towne, Livonia, MI 48152-1050 | 2007-03-28 |
| 1457406217 | Livonia Dermatology Pllc | Dermatology | 14801 Farmington Rd, Livonia, MI 48154-5429 | 2007-01-24 |
| 1891876538 | Consultants In Dermatology, Pllc | Dermatology | 20234 Farmington Rd, Livonia, MI 48152-1412 | 2006-10-18 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.