KOGER DERMATOLOGY P.C.


Address: 30301 Woodward Ave Ste 120, Royal Oak, MI 48073-0981
Phone: 2484356622

KOGER DERMATOLOGY P.C. (NPI# 1942370507) 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) 1942370507
Entity Type Organization
Organization Name KOGER DERMATOLOGY P.C.
Practice Address 30301 Woodward Ave Ste 120
Royal Oak
MI 48073-0981
Practice Telephone 2484356622
Practice Fax Number 2484357453
Mailing Telephone 2484356622
Mailing Fax Number 2484357453
Enumeration Date 2006-11-09
Last Update Date 2020-08-22
Authorized Official Name DR. O'NEAL WILSON KOGER JR. (PRESIDENT)
Authorized Official Telephone 2484356622
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 4301053536 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS 070F37332 01

Office Location

Street Address 30301 WOODWARD AVE STE 120
City ROYAL OAK
State MI
Zip Code 48073-0981

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1528679081 Activo Physical Therapy, LLC Clinic/Center 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 2020-08-10
1265057624 Olga Romina Gomez Rojas Internal Medicine 3607 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-11
1598389785 Devika Aggarwal Internal Medicine 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 2020-06-03
1831713064 Michael Morelli Physical Medicine & Rehabilitation Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 2020-06-03
1134741895 Kamil Sardarli Internal Medicine Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 2020-05-15
1245850171 Dema Fawaz Emergency Medicine Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 2020-04-21
1235771049 Semaan Dentistry Pllc Dentist 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 2019-10-14
1013560473 Muhammad Waqas Pediatrics Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 2019-07-24
1346804135 Matthew M Astolfi Orthopaedic Surgery 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 2019-04-26
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710595616 Diamond Dermatology, Pllc. Dermatology 3206 N Main St, Royal Oak, MI 48073-3424 2020-07-16
1245744242 Maureen Cliffel Do Pllc Dermatology 26454 Woodward Ave Ste 200, Royal Oak, MI 48067-0969 2017-11-29
1205875085 Janet Lynn Koprince Dermatology 713 N Main St, Royal Oak, MI 48067-1835 2006-06-06
1881659399 Maureen T Cliffel Dermatology 26454 Woodward Ave, Ste 200, Royal Oak, MI 48067-0969 2006-04-18
1821298167 Koprince Dermatology Plc Dermatology 713 N Main St, Royal Oak, MI 48067-1835 2007-07-24
1962599530 O'neal Wilson Koger Jr. Dermatology 30301 Woodward Ave, 120, Royal Oak, MI 48302 2006-10-06
1255371670 Joanna Gammons Dermatology 713 N Main St, Royal Oak, MI 48067-1835 2006-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477179174 Alicia Scopis Dermatology 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 2020-06-18
1003460874 Derm Institute of West Michigan Plc Dermatology 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 2019-07-30
1770080939 Emily Rose Davis Dermatology 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 2018-04-12
1306375365 Lindsay Christina El Awadi Dermatology 50182 Schoenherr Rd, Shelby Twp, MI 48315-3136 2017-06-05
1396278099 Sasank Konda Dermatology 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 2017-04-10
1790132439 Saara Kanervikkoaho-crane Dermatology 1517 Granger Ave, Ann Arbor, MI 48104-4426 2016-05-23
1588019053 Legacy Dermatology Group PC Dermatology 1392 S Cass Lake Rd, Waterford, MI 48328 2016-05-03
1679955041 Luke D Killpack Dermatology 5333 Mcauley Dr Rm 5003, Ypsilanti, MI 48197-1020 2015-06-22
1225410756 Kelsey Louise Lawrence Dermatology 849 Health Park Blvd, Grand Blanc, MI 48439-7383 2015-06-20
1558756833 Stacie Clark Dermatology 6700 N Rochester Rd Ste 112, Rochester Hills, MI 48306-4378 2015-04-02
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Competitor

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City ROYAL OAK
Zip Code 48073

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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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