NORTHWEST DERMATOLGY GROUP, PC (NPI# 1285656777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285656777 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DERMATOLGY GROUP, PC |
| Practice Address |
29355 Northwestern Hwy #200 Southfield MI 48034 |
| Mailing Address |
29355 Northwestern Hwy #200 Southfield MI 48034-1053 |
| Practice Telephone | 2483530880 |
| Mailing Telephone | 2483530880 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-07-27 |
| NPI Deactivation Date | 02/11/2018 |
| NPI Reactivation Date | 2018-06-05 |
| Authorized Official Name | EMILY B LEVIN (PRESIDENT) |
| Authorized Official Telephone | 2483530880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
29355 NORTHWESTERN HWY #200 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158185 | David Jacobs | Internal Medicine | 29355 Northwestern Hwy, Southfield, MI 48034-1053 | 2005-07-15 |
| 1528599750 | Singer Dermatology | Dermatology | 29355 Northwestern Hwy, 302, Southfield, MI 48034-1053 | 2017-03-21 |
| 1720481047 | Family-foot P.C. | Podiatrist | 29355 Northwestern Hwy, Suite 110, Southfield, MI 48034-1053 | 2014-10-01 |
| 1487907960 | Great American Associates LLC | Pharmacy | 29355 Northwestern Hwy, Ste 220, Southfield, MI 48034-1053 | 2012-10-20 |
| 1285997106 | Jacqueline Gierer | Internal Medicine | 29355 Northwestern Hwy, Suite 210, Southfield, MI 48034-1053 | 2012-06-18 |
| 1760771117 | Michigan Brain & Spine Physicians Group | Neurological Surgery | 29355 Northwestern Hwy, Suite 130, Southfield, MI 48034-1053 | 2011-04-06 |
| 1427384593 | Leonard Sahn, M.d., P.C. | Psychiatry & Neurology | 29355 Northwestern Hwy, Suite 100, Southfield, MI 48034-1053 | 2009-10-26 |
| 1942464987 | Yeva Soskina Md | Internal Medicine | 29355 Northwestern Hwy, Suite 120, Southfield, MI 48034 | 2008-07-17 |
| 1124206537 | Edward Malinowski Md Plc | Internal Medicine | 29355 Northwestern Hwy, 120, Southfield, MI 48034-1053 | 2008-02-07 |
| 1366648909 | Clayman & Riley PC | Oral & Maxillofacial Surgery | 29355 Northwestern Hwy, Suite # 200, Southfield, MI 48034-1053 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305815 | Ayad Edward Abrou | Dermatology | 29355 Northwestern Hwy, Suite 200, Southfield, MI 48034-1053 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1407309560 | St Joseph Dermatology and Vein Clinic Pllc | Dermatology | 2500 Niles Rd Ste 10a, Saint Joseph, MI 49085-3272 | 2016-07-25 |
| 1003290750 | El Tal Md PC | Dermatology | 555 Midtowne St Ne Ste 301, Grand Rapids, MI 49503-5729 | 2015-07-13 |
| 1912347923 | Forefront Dermatology, S.c. | Dermatology | 4362 Cascade Road, Suite 206, Grand Rapids, MI 49546 | 2013-07-05 |
| 1699003699 | Robert G Lee P C | Dermatology | 200 S Wenona St Ste G96, Bay City, MI 48706-8831 | 2009-12-02 |
| 1265645535 | Academic Dermatology & Cosmetic Surgery Center, Pllc | Dermatology | 50182 Schoenherr Road, Shelby Twp., MI 48315 | 2007-05-07 |
| 1649300880 | Skin Care Physicians PC | Dermatology | 2026 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-03-06 |
| 1437133097 | Kent Jerome Krach | Dermatology | 43900 Garfield Road, Suite 100, Clinton Township, MI 48038 | 2005-12-06 |
| 1134124217 | Montgomery O Gillard | Dermatology | 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | 2005-06-16 |
| 1366906364 | Tru North Dermatology | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.