DR. DOUGLAS A WINSTANLEY (NPI# 1609855402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609855402 |
Entity Type | Individual |
Full Name | DR. DOUGLAS A WINSTANLEY |
Credential | D.O. |
Practice Address |
2660 44th St Sw Ste 100 Wyoming MI 49519 |
Mailing Address |
4175 Parkway Place Dr Sw Ste 104 Grandville MI 49418-2382 |
Practice Telephone | 6162573344 |
Mailing Telephone | 6162573344 |
Mailing Fax Number | 6162571491 |
Enumeration Date | 2006-01-11 |
Last Update Date | 2018-11-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 5101015191 | MI | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
5101015191 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4285 Parkway Place Dr Sw, Grandville, MI 494182385 | 6162573344 | 6162571491 |
3124 N Wellness Dr Ste 50, Holland, MI 494248121 | 6163959379 | |
3290 N Wellness Dr Ste 240, Holland, MI 494247261 | 6163959379 | |
750 E Beltline Ave Ne Ste 303, Grand Rapids, MI 495256046 | 6162573344 | |
3434 Rivertown Point Ct Sw, Grandville, MI 494183076 | 6162573344 |
Street Address |
2660 44TH ST SW STE 100 |
City | WYOMING |
State | MI |
Zip Code | 49519 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528379153 | Sarah Mcintyre | Physician Assistant | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2010-06-29 |
1093981607 | Juan Gabriel Vasquez | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2008-05-03 |
1992912836 | Jayme Marie Heim | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2007-05-17 |
1407941396 | Kurt Vander Veen | Physician Assistant | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2006-10-04 |
1609896034 | Jack A Dekkinga Md PC | Specialist | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-20 |
1528085040 | Ronald W Reusch | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-17 |
1780619791 | Amber E Kintigh | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-11 |
1255365334 | Jack A Dekkinga | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519 | 2006-07-11 |
1922032606 | Molly R Duiven | Dermatology | 2660 44th St Sw Ste 100, Wyoming, MI 49519-6836 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
Find all providers in zip 49519 |
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 |
---|---|---|---|---|
1730206541 | Michael Robert Campoli | Dermatology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2007-03-25 |
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 |
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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.