FAMILY DERMATOLOGY CENTER, P.C.


Address: 20555 W. 12 Mile Rd, Southfield, MI 48076
Phone: 2483549595

FAMILY DERMATOLOGY CENTER, P.C. (NPI# 1073792917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073792917
Entity Type Organization
Organization Name FAMILY DERMATOLOGY CENTER, P.C.
Practice Address 20555 W. 12 Mile Rd
Southfield
MI 48076
Mailing Address P.o. Box 3532
Southfield
MI 48037
Practice Telephone 2483549595
Practice Fax Number 2483549598
Mailing Telephone 2483549595
Mailing Fax Number 2483549598
Enumeration Date 2007-10-29
Last Update Date 2007-10-29
Authorized Official Name CAROL PRINCE (PRESIDENT)
Authorized Official Telephone 2483549595
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 4301038363 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 20555 W. 12 MILE RD
City SOUTHFIELD
State MI
Zip Code 48076

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942813753 Elaine Sarah Kahn Social Worker 15999 West Twelve Mile Rd, Southfield, MI 48076 2020-08-31
1295353829 Marian Hannah Ibrahim Dentist 19189 W 12 Mile Rd, Lathrup Village, MI 48076 2020-07-09
1699317669 Meadow Lane Rehabilitative Therapies LLC Social Worker 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 2019-10-11
1760035752 Taliah Laneice Williams-hunter Counselor 30119 Sparkleberry Dr., Southfield, MI 48076 2019-07-19
1386114742 Mavis Gail Pookrum Technician 21732 Colony Park Circle #105, Southfield, MI 48076 2018-11-28
1861962417 Millennial Infusion Centers Inc Clinic/Center 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 2018-11-27
1215429212 Debra Deanes Counselor 30233 Southfiels Rd, 203, Southfield, MI 48076 2018-06-05
1437675758 Kenneth Gerard Giles Counselor 29532 Southfield Rd. Suite 208, Southfield, MI 48076 2017-08-17
1902346836 Linsk Psychiatry Services P C Clinic/Center 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 2017-02-25
1023552361 Massage Serenity Community/Behavioral Health 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 2016-12-06
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235544941 Ross Joseph Brothers Dermatology 29355 Northwestern Hwy Ste 200, Southfield, MI 48034 2014-06-23
1205222171 Wasim Nasir Dermatology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2015-04-08
1861754152 Everett B. Simmons,jr.,m.d.,p.c. Dermatology 20905 Greenfield Rd, 607, Southfield, MI 48075-5360 2012-06-12
1548571821 Marian Ibrahim Dermatology 26400 W 12 Mile Rd Ste 150, Southfield, MI 48034-1771 2010-07-01
1598959603 The Skin Cancer Center of Se Michigan PC Dermatology 26400 W 12 Mile Rd, Suite 180, Southfield, MI 48034-1700 2007-08-31
1912069964 Franklin Dermatology and Surgery Center, P.C. Dermatology 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034-1700 2006-12-15
1376556712 Bobbi Edwards Dermatology 24901 Northwestern Hwy, Suite 214, Southfield, MI 48075 2006-08-15
1659301067 Martin Edward Tessler Dermatology 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034 2006-07-03
1154368165 Mark Allyn Stiff Dermatology 26400 W 12 Mile Rd, Suite 180, Southfield, MI 48034-1700 2006-05-31
1346231214 Steven M Shumer Dermatology 26400 W 12 Mile Rd, Ste 150, Southfield, MI 48034 2005-10-31
Find all providers in SOUTHFIELD

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City SOUTHFIELD
Zip Code 48076

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Dataset Information

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.

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