DAVID A ALTMAN (NPI# 1205831005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205831005 |
| Entity Type | Individual |
| Full Name | DAVID A ALTMAN |
| Credential | MD |
| Practice Address |
11900 E 12 Mile Rd Ste 201 Warren MI 48093-3490 |
| Practice Telephone | 5865742800 |
| Practice Fax Number | 5865742803 |
| Mailing Telephone | 5865742800 |
| Mailing Fax Number | 5865742803 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301056490 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MCARE | C3488 | 01 |
| MI | BCBSM MEDICARE PLUS BLUE | ON96970001 | 01 |
| MI | 4640535 | 05 | |
| MI | HAP | F22533 | 01 |
| MI | AETNA | 4566535 | 01 |
| MI | BCBSM AND BCN | DA056490 | 01 |
| MI | GREAT LAKES HEALTH | 100166 | 01 |
| MI | CARE CHOICES | 119608 | 01 |
| MI | AETNA HMO | 4566535 | 01 |
| MI | PREFERRED CHOICES | 119608 | 01 |
| MI | BCN ADVANTAGE | 070E015730 | 01 |
| MI | MIDWEST HEALTH PLAN | 1222960001 | 01 |
| MI | OMNICARE | 52686 | 01 |
| MI | MOLINA HEALTH PLAN | 100738 | 01 |
| MI | COMMUNITY CHOICE OF MICHI | 29813 | 01 |
| MI | BCN | 070E015730 | 01 |
| MI | TOTAL HEALTH CARE | 1222960001 | 01 |
| MI | TRAVELERS MEDICARE | P00175581 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194042945 | David Abraham Altman | Dentist | 12310 Tattersall Park Ln, Tampa, FL 33625-3928 | 2010-05-03 |
| 1689853301 | David Alan Altman | Dentist | 100 Ucla Medical Plaza #350, Los Angeles, CA 90095-0001 | 2007-10-30 |
| 1831231653 | David A Altman | Optometrist | 119 W Pine St, Mcrae, GA 31055-1668 | 2007-02-12 |
| 1679636690 | David Bruce Altman | Psychiatry & Neurology | 9933 Lawler Ave Ste 444, Skokie, IL 60077-3707 | 2006-12-19 |
| 1336207778 | David Elliot Altman | Family Medicine | 20 Constitution Dr, Suite #b, Chico, CA 95973-4906 | 2006-12-05 |
| 1164523163 | David L. Altman | Dentist | 152 E Walker St, Orland, CA 95963-1526 | 2006-09-25 |
| 1437167376 | David W Altman | Dentist | 338c N Magnolia Ave, Orlando, FL 32801 | 2006-08-04 |
| 1598764433 | David J. Altman | Dermatology | 8421 Sheridan Dr, Williamsville, NY 14221-4133 | 2005-07-21 |
| 1861661324 | David Joseph Altman | Anesthesiology | 25 E Washington St, Suite 300, Chicago, IL 60602-1708 | 2008-02-28 |
| 1255523791 | David A Altman | Nuclear Medicine | 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211-4864 | 2007-08-17 |
| Street Address |
11900 E 12 MILE RD STE 201 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| 1902459159 | Tammy Jean Cass | Registered Nurse | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-07-17 |
| 1437715026 | Dalia Hasso | Student in an Organized Health Care Education/Training Program | 11900 E 12 Mile Rd, Warren, MI 48093-3400 | 2019-05-19 |
| 1174070577 | Hayley Foster | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-09-02 |
| 1063872877 | Andrew Cox | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2016-03-07 |
| 1194115402 | Lingareddy Devireddy Md PC | Clinic/Center | 11900 E 12 Mile Rd, Suite 103, Warren, MI 48093-3400 | 2015-01-26 |
| 1538561469 | Erica Williams | Physician Assistant | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2014-09-23 |
| 1578994737 | Mendelson Orthopedics | Orthopaedic Surgery | 11900 E 12 Mile Rd, Suite 105, Warren, MI 48093-3400 | 2013-12-12 |
| 1548542020 | Brittany J Miller | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-12 |
| 1285916825 | Theresa Jeanette Richardson | Physician Assistant | 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093-3400 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1144483116 | Rebecca Y. Lu | Dermatology | 7 Mount Bethel Rd, Suite C, Warren, NJ 07059-2636 | 2008-07-09 |
| 1033379961 | Melissa Woods Bouffard | Dermatology | 122 Mount Bethel Rd Ste 1, Warren, NJ 07059-5127 | 2008-06-13 |
| 1518006865 | George Daniel Reilly | Dermatology | 31 Q Mountain Boulevard, Warren, NJ 07059-5648 | 2007-02-05 |
| 1619069549 | Wendy W Lambert | Dermatology | 13450 E 12 Mile Road, Warren, MI 48088-3671 | 2006-09-28 |
| 1730102666 | Warren Dermatology Associates LLC | Dermatology | 122 Mount Bethel Rd, Suite 1, Warren, NJ 07059-5127 | 2006-07-25 |
| 1790703486 | Michael P Bagley | Dermatology | 122 Mt Bethel Rd Ste 1, Warren Dermatology Assoc LLC, Warren, NJ 07059 | 2006-07-18 |
| 1790714442 | Amy Beth Cardellio | Dermatology | 30950 Campbell St, Warren, MI 48093-6505 | 2006-07-02 |
| 1407836877 | Steven Kenneth Grekin | Dermatology | 13450 E 12 Mile Rd, Warren, MI 48088-3671 | 2006-01-20 |
| 1417943796 | Indira Krishnarao | Dermatology | 735 Niles Cortland Rd Se, Warren, OH 44484-2475 | 2005-09-22 |
| 1194720276 | Stuart R Gildenberg | Dermatology | 11900 E 12 Mile Rd, Ste 201, Warren, MI 48093-3490 | 2005-06-16 |
| Find all providers in WARREN | ||||
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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.