KIMBERLY SIMONS (NPI# 1336593169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336593169 |
| Entity Type | Individual |
| Full Name | KIMBERLY SIMONS |
| Credential | PA |
| Practice Address |
285 N Lilley Rd Canton MI 48187-3907 |
| Mailing Address |
43151 Dalcoma Dr Suite 5 Clinton Township MI 48038-6306 |
| Practice Telephone | 7344951506 |
| Practice Fax Number | 7344951780 |
| Mailing Telephone | 5862868720 |
| Mailing Fax Number | 8667906803 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5601007735 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
285 N LILLEY RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125065 | Thomas Powell Waldinger | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2005-06-24 |
| 1649629510 | Chelsea Luther | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-06-10 |
| 1366811515 | Sara Elizabeth Hayes | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2015-09-17 |
| 1003069014 | Dermatology Specialists of Canton, Pllc | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2008-11-04 |
| 1538328547 | Marsha D Henderson | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2008-06-04 |
| 1528260627 | Andrea Elizabeth Schrieber | Dermatology | 285 N Lilley Rd, Dermatology Specialists of Canton, Canton, MI 48187-3907 | 2007-06-01 |
| 1427009729 | Ali A Berry | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2006-05-12 |
| 1538117866 | Iltefat H Hamzavi | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| 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 |
|---|---|---|---|---|
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1699982454 | Skin and Allergy Clinic, Inc. | Dermatology | 6801 Graystone Cir Nw, Dr. Khan - Dermatologist, Canton, OH 44718-1372 | 2007-05-17 |
| 1285651141 | Mark William Berbaum | Dermatology | 4527 Everhard Rd Nw, Canton, OH 44718 | 2006-07-16 |
| 1215994470 | Paige Bloodworth Camp | Dermatology | 130 Oakside Ct, Suite A, Canton, GA 30114-2456 | 2006-04-28 |
| 1255398418 | Fausto Antonio Sicard | Dermatology | 4825 Munson St Nw, Canton, OH 44718-3614 | 2006-04-28 |
| 1295704815 | Ann Ammond Lafond | Dermatology | 8584 N Canton Center Rd, Canton, MI 48187-1310 | 2006-03-16 |
| 1235106642 | Maria A Charif | Dermatology | 4340 Fulton Dr Nw, Canton, OH 44718-2824 | 2006-03-03 |
| 1124095682 | Lisa Marie Sayoc | Dermatology | 4565 Dressler Nwrd Ll3, Canton, OH 44718-2579 | 2006-03-03 |
| 1134125065 | Thomas Powell Waldinger | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2005-06-24 |
| 1649629510 | Chelsea Luther | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-06-10 |
| Find all providers in CANTON | ||||
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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.