DR. JUAN GABRIEL VASQUEZ (NPI# 1093981607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093981607 |
Entity Type | Individual |
Full Name | DR. JUAN GABRIEL VASQUEZ |
Credential | M.D. |
Practice Address |
2660 44th St Sw Ste 100 Wyoming MI 49519 |
Mailing Address |
4175 Parkway Place Dr Sw Grandville MI 49418-2382 |
Practice Telephone | 6162573344 |
Mailing Telephone | 6162573344 |
Enumeration Date | 2008-05-03 |
Last Update Date | 2018-11-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 5601102220 | MI | Allopathic & Osteopathic Physicians |
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
5601102220 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS OF MICHIGAN | 070D16223 | 01 |
MI | MEDICARE GROUP | 0D16223 | 01 |
MI | MEDICARE RAILROAD GROUP | CI2832 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4285 Parkway Pl Sw, Grandville, MI 494182385 | 6162573344 | |
3290 N Wellness Dr Ste 240, Holland, MI 494247261 | 6163959379 | |
3124 N Wellness Dr Ste 50, Holland, MI 494248121 | 6162573344 | |
750 E Beltline Ave Ne Ste 303, Grand Rapids, MI 495256046 | 6162573344 | |
3434 Rivertown Point Ct Sw, Grandville, MI 494183076 | 6162573344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730719337 | Juan Elias Vasquez | Audiologist | 920 W Cullom Ave Ph Unit, Chicago, IL 60613-1632 | 2020-01-22 |
1396167417 | Juan E Vasquez | Respiratory Therapist, Registered | 1515 Colima St, San Antonio, TX 78207-5908 | 2014-01-08 |
1154667590 | Juan Valentin Vasquez | Physical Therapist | 2301 S 17th St, Unit 2, Wilmington, NC 28401-7901 | 2012-12-12 |
1912046566 | Juan M Vasquez | Community Based Residential Treatment Facility, Mental Illness | 9264 S. Wilt Bank Road, Tucson, AZ 85735 | 2007-02-06 |
1477593713 | Juan C Vasquez | Surgery | 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 | 2006-06-07 |
1861092876 | Juan Antonio Vasquez | Counselor | 2901 S H St, Bakersfield, CA 93304-5602 | 2020-10-28 |
1740508050 | Juan Vasquez | Pediatrics | 333 Cedar St, Lmp 2073, New Haven, CT 06510-3206 | 2010-05-11 |
1912021320 | Juan C. Vasquez | Social Worker | 614 Tully Rd, San Jose, CA 95111-1048 | 2007-03-19 |
1750364881 | Juan Angel Vasquez | Internal Medicine | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2005-11-22 |
Street Address |
2660 44TH ST SW STE 100 |
City | WYOMING |
State | MI |
Zip Code | 49519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609855402 | Douglas A Winstanley | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2006-01-11 |
1528379153 | Sarah Mcintyre | Physician Assistant | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2010-06-29 |
1992912836 | Jayme Marie Heim | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2007-05-17 |
1407941396 | Kurt Vander Veen | Physician Assistant | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2006-10-04 |
1609896034 | Jack A Dekkinga Md PC | Specialist | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-20 |
1528085040 | Ronald W Reusch | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-17 |
1780619791 | Amber E Kintigh | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-11 |
1255365334 | Jack A Dekkinga | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2006-07-11 |
1922032606 | Molly R Duiven | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
Find all providers in zip 49519 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114489945 | Novice Aesthetics and Dermatology Pllc | Dermatology | 4120 W Maple Rd Ste 206, Bloomfield Hills, MI 48301-3068 | 2019-04-01 |
1962585596 | Wei Su | Dermatology | 43900 Garfield Rd Ste 100, Clinton Township, MI 48038-1137 | 2006-10-24 |
1629090691 | Janine Mangini | Dermatology | 16520 19 Mile Rd, Clinton Twp, MI 48038-1106 | 2006-07-25 |
1619909611 | Nicole M. Bossenbroek | Dermatology | 6225 Prairie St, Norton Shores, MI 49444-7831 | 2006-07-07 |
1104874411 | S L Husain Hamzavi | Dermatology | 43151 Dalcoma Dr, Suite 1, Clinton Twp, MI 48038-6306 | 2006-05-05 |
1528052834 | John Michael Pelachyk | Dermatology | 1602 Military St, Port Huron, MI 48060-5933 | 2005-09-01 |
1528599750 | Singer Dermatology | Dermatology | 29355 Northwestern Hwy, 302, Southfield, MI 48034-1053 | 2017-03-21 |
1538538178 | Specialized Pathology Partners PC | Dermatology | 4798 Wenmar Dr, Saginaw, MI 48604-2843 | 2015-09-24 |
1255724100 | West Michigan Pathology Specialists, PC | Dermatology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2015-03-16 |
1760812523 | Scott Conley Bresler | Dermatology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2013-11-14 |
Find all providers with the same taxonomy |
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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.