DR. PETER JAJOU (NPI# 1609296144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609296144 |
| Entity Type | Individual |
| Full Name | DR. PETER JAJOU |
| Credential | D.O. |
| Practice Address |
18285 E 10 Mile Rd Ste 130 Roseville MI 48066 |
| Mailing Address |
18285 E 10 Mile Rd Ste 130 Roseville MI 48066-5806 |
| Practice Telephone | 5867767546 |
| Mailing Telephone | 5867767546 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5101020929 | MI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
5101020929 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1575 W Big Beaver Rd Ste C12, Troy, MI 48084 | 2486437677 |
| Street Address |
18285 E 10 MILE RD STE 130 |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| 1497997928 | David Paul Caplan | Optometrist | 31720 Gratiot Ave., Roseville, MI 48066 | 2009-03-30 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1740411628 | Javier Rangel | Dermatology | 2120 Professional Dr # 140, Roseville, CA 95661-3700 | 2009-07-27 |
| 1598981763 | Kathryn Boyse Gant | Dermatology | 258 Gibson Dr, Ste 140, Roseville, CA 95678-5881 | 2007-04-17 |
| 1548366727 | Scott B Hearth | Dermatology | 1535 Eureka Rd, Roseville, CA 95661-3040 | 2006-09-15 |
| 1255447215 | Usha R Sood | Dermatology | 18285 Ten Mile Rd, Suite 130, Roseville, MI 48066 | 2006-08-22 |
| 1114940343 | Robert Hadley Hargrove | Dermatology | 10 Sierra Gate Plz Ste 120, Roseville, CA 95678-6647 | 2006-07-26 |
| 1508803263 | Roseville Dermatology Inc. | Dermatology | 1211 Pleasant Grove Blvd, Suite 100, Roseville, CA 95678-6971 | 2006-06-01 |
| 1629051677 | Adam Adair Pettey | Dermatology | 2120 Professional Dr, Roseville, CA 95661-3700 | 2005-11-23 |
| 1184628000 | Gregory Michael Bricca | Dermatology | 9269 Sierra College Blvd, Roseville, CA 95661 | 2005-06-09 |
| 1003327545 | West Oak Dermatology Inc | Dermatology | 258 Gibson Dr, Ste 140, Roseville, CA 95678-5881 | 2017-10-23 |
| 1972856490 | Nalini G Prasad | Dermatology | 1650 Lead Hill Blvd, Suite 400, Roseville, CA 95661-3061 | 2012-10-22 |
| Find all providers in ROSEVILLE | ||||
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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.