NOVICE AESTHETICS AND DERMATOLOGY PLLC (NPI# 1114489945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114489945 |
| Entity Type | Organization |
| Organization Name | NOVICE AESTHETICS AND DERMATOLOGY PLLC |
| Practice Address |
4120 W Maple Rd Ste 206 Bloomfield Hills MI 48301-3068 |
| Mailing Address |
7456 Paddle Wheel Ct Bloomfield Hills MI 48301-3700 |
| Practice Telephone | 2489323376 |
| Practice Fax Number | 2489321046 |
| Mailing Telephone | 2489323376 |
| Mailing Fax Number | 2489321046 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DR. FRED MARK NOVICE (OWNER) |
| Authorized Official Telephone | 2489323376 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
4120 W MAPLE RD STE 206 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48301-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386278992 | Next Level Home Care | Home Health | 3595 W Maple Rd Ste 208, Bloomfield Hills, MI 48301 | 2020-02-24 |
| 1811352230 | Freda B. Lerman, Lpc, Psyd, Lp, Pllc | Psychologist | 6905 Telegraph Road Suite 100, Bloomfield Hills, MI 48301 | 2015-12-30 |
| 1790113223 | Kathy Biehl Kelly | Nurse Practitioner | 3355 Morningview Terrace, Bloomfield Hills, MI 48301 | 2013-10-18 |
| 1538406855 | Dynamic Home Health Care Agency | Case Management | 3744 Lincoln Drive, Bloomfield Hills, MI 48301 | 2013-01-07 |
| 1366798373 | A3 Medical | Family Medicine | 4050 Maple Road, Suite 101, Bloomfield Township, MI 48301 | 2012-07-27 |
| 1013299361 | Michael Kovel Samson | Internal Medicine | 4790 Apple Grove Court, Bloomfield Hills, MI 48301 | 2011-09-13 |
| 1376786152 | Pamela Ann Hibbard Timrek | Speech-Language Pathologist | 3816 Lincoln Drive, Bloomfield Township, MI 48301 | 2009-04-09 |
| 1164694584 | Alexandra Krot | Internal Medicine | 169 Bassett Place, Bloomfield Hills, MI 48301 | 2008-03-26 |
| 1619170644 | Latha T Kannan, Md, PC | Internal Medicine | 6715 Birmingham Club Drive, Bloomfield Hills, MI 48301 | 2007-06-07 |
| 1699802975 | Rebeca Urquiola | Dentist | 4220 Surrey Cross, Bloomfield Hills, MI 48301 | 2007-02-27 |
| Find all providers in zip 48301 | ||||
| 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 |
|---|---|---|---|---|
| 1902299662 | Richard Elton | Dermatology | 29 Kingsley Manor Ct, Bloomfield Hills, MI 48304-2813 | 2015-03-05 |
| 1720112436 | Jay Victor | Dermatology | 1261 Club Dr, Bloomfield Hills, MI 48302-0907 | 2007-03-15 |
| 1265517635 | Fred Mark Novice | Dermatology | 4120 West Maple Road, Suite 206, Bloomfield Hills, MI 48301 | 2006-10-26 |
| 1386610152 | Linda Chung Honet | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2006-02-23 |
| 1790784056 | Lynn Marie Sikorski | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2005-07-19 |
| 1043602923 | Linda C Honet, Md Dermatology PC | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2015-03-02 |
| 1144460833 | Darius J Karimipour, M.d., P.C. | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2009-02-20 |
| 1982855110 | Michelle Sue Legacy | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 | 2008-10-07 |
| 1720259435 | Mark L. Nelson, Md, Phd, PC | Dermatology | 60 W Big Beaver Rd, Bloomfield Hills, MI 48304-3909 | 2008-03-20 |
| 1891815536 | Lynn M. Sikorski, D.o., P.C. | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2007-03-29 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48301 |
Please comment or provide details below to improve the information on NOVICE AESTHETICS AND DERMATOLOGY PLLC.
| 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.