DIANE M. JACKSON-RICHARDS (NPI# 1992883029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992883029 |
| Entity Type | Individual |
| Full Name | DIANE M. JACKSON-RICHARDS |
| Credential | M.D. |
| Practice Address |
6777 W Maple Rd West Bloomfield MI 48322-3013 |
| Practice Telephone | 2486616477 |
| Practice Fax Number | 2486616453 |
| Mailing Telephone | 2486616477 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 46095 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
6777 W MAPLE RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754816 | Lynne Camille Gafford | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2005-07-18 |
| 1740891639 | Teia Lee Irwin | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-08-13 |
| 1154947323 | Jaykumar Shah | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-23 |
| 1669098174 | Isaac Michael Peruski | Internal Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-20 |
| 1609490689 | Jessica Sassine Akl | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-04 |
| 1952922684 | Marie Giuseppa Diponio-hohl | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-05 |
| 1679194542 | Betsy Thomas | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-02 |
| 1952922841 | Hiba Nabil Issa | Pharmacist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-01 |
| 1427692607 | Jenna E Buchman | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-10-31 |
| 1558911412 | Anne Renee Adelson | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3031 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| 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 |
|---|---|---|---|---|
| 1093155921 | Tarana Marie Mohammadi | Dermatology | 6900 Orchard Lake Rd Ste 209, West Bloomfield, MI 48322-3425 | 2013-06-25 |
| 1942525837 | Leonard Yale Kerwin | Dermatology | 3266 Shadydale Ln, West Bloomfield, MI 48323-1855 | 2010-04-02 |
| 1154654846 | Sanford Kornwise | Dermatology | 7578 Danbury Cir, West Bloomfield, MI 48322-3568 | 2009-09-12 |
| 1962663039 | Jessica Ann Kado | Dermatology | 5364 W Doherty St, West Bloomfield, MI 48323-2708 | 2008-06-21 |
| 1841281532 | Michael A Dorman | Dermatology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2005-11-02 |
| 1841897238 | West Bloomfield Dermatology and Mohs Surgery Plc | Dermatology | 6900 Orchard Lake Rd Ste 209, West Bloomfield, MI 48322-3425 | 2020-10-08 |
| 1215102330 | Kay Watnick Md PC | Dermatology | 6900 Orchard Lake Rd, Ste 209, West Bloomfield, MI 48322-3405 | 2008-04-29 |
| 1790950939 | D'anne M Kleinsmith Md PC | Dermatology | 6900 Orchard Lake Rd, Ste 209, West Bloomfield, MI 48322-3405 | 2008-04-29 |
| 1619055746 | Linda F. Stein Gold | Dermatology | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-11-02 |
| 1174601207 | Ethan D. Nydorf | Dermatology | 6530 Farmington Rd, West Bloomfield, MI 48322-3216 | 2006-11-02 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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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.