DR. LAUREL AERIEL LEITHAUSER


Address: 3643 W Front St Ste A, Traverse City, MI 49684-7760
Phone: 2319350620

DR. LAUREL AERIEL LEITHAUSER (NPI# 1912132945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912132945
Entity Type Individual
Full Name DR. LAUREL AERIEL LEITHAUSER
Credential M.D.
Practice Address 3643 W Front St Ste A
Traverse City
MI 49684-7760
Mailing Address Po Box 30516
Dept for Lockbox: 9517
Lansing
MI 48909-8016
Practice Telephone 2319350620
Practice Fax Number 2319350626
Mailing Telephone 2319350620
Mailing Fax Number 2319350626
Enumeration Date 2009-05-19
Last Update Date 2015-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
4301104387 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 3643 W FRONT ST STE A
City TRAVERSE CITY
State MI
Zip Code 49684-7760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023033255 Raymond J Dean Dermatology 3643 W Front St Ste A, Traverse City, MI 49684-7760 2006-07-12
1710902945 Joan M Griner Licht Dermatology 3643 W Front St Ste A, Traverse City, MI 49684-7760 2006-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124641758 Karen Anne Paulosky Registered Nurse 226 S Madison St, Traverse City, MI 49684 2020-05-18
1891314795 Jaclyn Elizabeth Sylvain Student in an Organized Health Care Education/Training Program Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 2020-04-10
1285282988 Madelyn Drumm Dietitian, Registered 217 S. Madison St., Suite 3022, Traverse City, MI 49684 2019-08-27
1265917686 Kacie Danielle Heading Social Worker 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 2018-10-02
1881178325 Jacob White Ph.d., Pllc Psychologist 3537 W. Front Street, Suite F, Traverse City, MI 49684 2018-09-20
1144702572 Constance Baab, Phd, Lmsw, Pllc Social Worker 3301 Veterans Drive Suite 127, Traverse City, MI 49684 2018-09-01
1346732880 The Skin Cancer and Dermatology Center Plc Dermatology 1225 W Front St Ste 2, Traverse City, MI 49684 2018-05-31
1790283851 Lisa Louise Kleyps Massage Therapist 3337 W. South Airport Road #2, Traverse City, MI 49684 2018-01-24
1114447646 Brittany Alexandra Prior Physical Therapist 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 2017-06-26
1568902963 Jennifer Scott Behavior Technician 515 W 14th St Unit D, Traverse City, MI 49684 2017-03-03
Find all providers in zip 49684

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and city

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
1346457488 Northwestern Michigan Dermatology Dermatology 550 Munson Ave, Suite 200, Traverse City, MI 49686-3580 2007-05-17
1962511097 Mark R. Pomaranski Dermatology 550 Munson Ave, Suite 200, Traverse City, MI 49686 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1417442898 Concierge Dermatology & Skin Surgery Center Dermatology 500 Campus Dr, Hancock, MI 49930 2018-06-27
Find all providers with the same taxonomy

Competitor

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City TRAVERSE CITY
Zip Code 49684

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Dataset Information

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.

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