DR. MICHELLE SUE LEGACY (NPI# 1982855110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982855110 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE SUE LEGACY |
| Credential | DO |
| Practice Address |
1900 S Telegraph Rd Suite 100 Bloomfield Hills MI 48302 |
| Practice Telephone | 2483386400 |
| Practice Fax Number | 2483382920 |
| Mailing Telephone | 2483386400 |
| Mailing Fax Number | 2483382920 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MI5101017676 | MI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 5101017676 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1900 S TELEGRAPH RD SUITE 100 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784056 | Lynn Marie Sikorski | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2005-07-19 |
| 1154714947 | Tel-huron Dialysis, LLC | Clinic/Center | 1900 S Telegraph Rd, Bloomfield Hills, MI 48302-0238 | 2015-03-18 |
| 1598912461 | Tel Huron Dialysis LLC | Clinic/Center | 1900 S Telegraph Rd, Ste 200, Bloomfield Hills, MI 48302-0238 | 2008-08-22 |
| 1295905289 | Seraphim Pallas, Md Pllc | Internal Medicine | 1900 S Telegraph Rd, Suite 201, Bloomfield Hills, MI 48302-0238 | 2008-03-05 |
| 1386828440 | Keri Topouzian, D.o., P.C. | General Practice | 1900 S Telegraph Rd, Suite 102, Bloomfield Hills, MI 48302-0238 | 2007-12-26 |
| 1891815536 | Lynn M. Sikorski, D.o., P.C. | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2007-03-29 |
| 1205845492 | Keri Berge Topouzian | Emergency Medicine | 1900 S Telegraph Rd, Suite 102, Bloomfield Hills, MI 48302-0238 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| 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 |
|---|---|---|---|---|
| 1902299662 | Richard Elton | Dermatology | 29 Kingsley Manor Ct, Bloomfield Hills, MI 48304-2813 | 2015-03-05 |
| 1720112436 | Jay Victor | Dermatology | 1261 Club Dr, Bloomfield Hills, MI 48302-0907 | 2007-03-15 |
| 1265517635 | Fred Mark Novice | Dermatology | 4120 West Maple Road, Suite 206, Bloomfield Hills, MI 48301 | 2006-10-26 |
| 1386610152 | Linda Chung Honet | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2006-02-23 |
| 1790784056 | Lynn Marie Sikorski | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2005-07-19 |
| 1043602923 | Linda C Honet, Md Dermatology PC | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2015-03-02 |
| 1144460833 | Darius J Karimipour, M.d., P.C. | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2009-02-20 |
| 1720259435 | Mark L. Nelson, Md, Phd, PC | Dermatology | 60 W Big Beaver Rd, Bloomfield Hills, MI 48304-3909 | 2008-03-20 |
| 1891815536 | Lynn M. Sikorski, D.o., P.C. | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2007-03-29 |
| 1275620171 | Darius James Karimipour | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2006-10-10 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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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.