RAYMOND J DEAN (NPI# 1023033255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023033255 |
| Entity Type | Individual |
| Full Name | RAYMOND J DEAN |
| Credential | MD |
| Practice Address |
3643 W Front St Ste A Traverse City MI 49684-7760 |
| Practice Telephone | 2319350620 |
| Practice Fax Number | 2319350626 |
| Mailing Telephone | 2319350625 |
| Mailing Fax Number | 2319350626 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
RD07707 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN LIC# | RD072707 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851854202 | Raymond Dean | Counselor | 206 E Adair St, Valdosta, GA 31601-4508 | 2019-04-12 |
| 1174707145 | Raymond Nuredini Dean | Psychiatry & Neurology | 1000 36th Street, Indian River Medical Center, Vero Beach, FL 32960 | 2007-12-26 |
| 1013953132 | Raymond Charles Dean | Optometrist | 111 Hekili St, Suite 108, Kailua, HI 96734 | 2006-06-20 |
| Street Address |
3643 W FRONT ST STE A |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132945 | Laurel Aeriel Leithauser | Dermatology | 3643 W Front St Ste A, Traverse City, MI 49684-7760 | 2009-05-19 |
| 1710902945 | Joan M Griner Licht | Dermatology | 3643 W Front St Ste A, Traverse City, MI 49684-7760 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982766465 | James Joseph Simons | Dermatology | 999 6th St, Traverse City, MI 49684-2301 | 2006-12-14 |
| 1710902945 | Joan M Griner Licht | Dermatology | 3643 W Front St Ste A, Traverse City, MI 49684-7760 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508366279 | United Dermatology Associates Pllc | Dermatology | 6500 Schaefer Rd Ste B, Dearborn, MI 48126-1813 | 2018-02-19 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1144554247 | Soft Medical, PC | Dermatology | 4455 Wilson Ave Sw, Grandville, MI 49418-2366 | 2009-09-23 |
| 1942468616 | A Z Dermatology PC | Dermatology | 25225 Greenfield, Southfield, MI 48075 | 2008-05-29 |
| 1043350531 | Michael J Redmond | Dermatology | 16826 Newburgh Rd, Livonia, MI 48154-1600 | 2007-02-07 |
| 1376083436 | Forefront Dermatology, S.c. | Dermatology | 42452 Hayes Rd, Suite 3, Clinton Township, MI 48038 | 2017-03-08 |
| 1487063392 | Forefront Dermatology, S.c. | Dermatology | 1000 E Paris Ave Se, Suite 214, Grand Rapids, MI 49546 | 2014-08-05 |
| 1619393758 | Forefront Dermatology, S.c. | Dermatology | 1414 W Fair Ave, Suite 109, Marquette, MI 49855 | 2014-03-13 |
| 1932330636 | Michigan Medical Patient Care | Dermatology | 1100 E Paris Ave Se, Grand Rapids, MI 49546-8367 | 2009-07-30 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.