BLUE SKIES DERMATOLOGY


Address: 29167 Jefferson Ave, Suite B, Saint Clair Shores, MI 48081-1331
Phone: 5862961301

BLUE SKIES DERMATOLOGY (NPI# 1104090794) 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) 1104090794
Entity Type Organization
Organization Name BLUE SKIES DERMATOLOGY
Practice Address 29167 Jefferson Ave
Suite B
Saint Clair Shores
MI 48081-1331
Practice Telephone 5862961301
Practice Fax Number 5862961304
Mailing Telephone 5862961301
Mailing Fax Number 5862961304
Enumeration Date 2008-04-15
Last Update Date 2008-04-24
Authorized Official Name DR. COLENE MARIE CALO (PHYSICIAN)
Authorized Official Telephone 5862961301
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 012868 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 29167 JEFFERSON AVE
SUITE B
City SAINT CLAIR SHORES
State MI
Zip Code 48081-1331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588657712 Melek Ronald Kayser Surgery 29167 Jefferson Ave, Saint Clair Shores, MI 48081-1331 2005-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750865416 Saint Clair Family Pharmacy LLC Pharmacy 28001 Harper Ave., Saint Clair Shores, MI 48081 2018-09-19
1669995783 Terra Laquay Ginther Social Worker 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 2017-07-20
1245676998 Julia Hanson Social Worker 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 2013-05-21
1760731301 Life Transition Service Community/Behavioral Health 21031 Sunnydale, St. Clair Shore, MI 48081 2012-08-29
1477868792 William Burr Wood Pharmacist 21000 Twelve Milerd., St Clair Shores, MI 48081 2010-08-11
1508094350 Dominic Anthony Garrisi Anesthesiology 21018 Bon Brae, St. Clair Shores, MI 48081 2009-06-30
1992947022 Karen Ostrowski-thomas Occupational Therapist 22442 Bayview, St. Clair Shores, MI 48081 2009-04-06
1891979787 Chirag Rachhadia Physical Therapist 29150 Harper Avenue, St. Clair Shores, MI 48081 2007-12-27
1598955114 Donna Warner Manczak Psychologist 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 2007-07-30
1467652347 Sumit Narayanprasad Fogla Family Medicine 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 2007-07-19
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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
1104141654 Deanna Marie Wagner Dermatology 28333 Harper Ave, Saint Clair Shores, MI 48081 2010-03-27
1376761890 Stephen I. Field, M.d., P.C. Dermatology 28333 Harper Ave, Saint Clair Shores, MI 48081-1687 2007-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710595616 Diamond Dermatology, Pllc. Dermatology 3206 N Main St, Royal Oak, MI 48073-3424 2020-07-16
1477179174 Alicia Scopis Dermatology 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 2020-06-18
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1770080939 Emily Rose Davis Dermatology 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 2018-04-12
1245744242 Maureen Cliffel Do Pllc Dermatology 26454 Woodward Ave Ste 200, Royal Oak, MI 48067-0969 2017-11-29
1306375365 Lindsay Christina El Awadi Dermatology 50182 Schoenherr Rd, Shelby Twp, MI 48315-3136 2017-06-05
1396278099 Sasank Konda Dermatology 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 2017-04-10
1790132439 Saara Kanervikkoaho-crane Dermatology 1517 Granger Ave, Ann Arbor, MI 48104-4426 2016-05-23
1588019053 Legacy Dermatology Group PC Dermatology 1392 S Cass Lake Rd, Waterford, MI 48328 2016-05-03
1679955041 Luke D Killpack Dermatology 5333 Mcauley Dr Rm 5003, Ypsilanti, MI 48197-1020 2015-06-22
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Competitor

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City SAINT CLAIR SHORES
Zip Code 48081

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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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