1. Home
  2. Directory
  3. Michigan
  4. Clarkston
  5. Dermatology
  6. NPI Profile

CLARKSTON DERMATOLOGY & VEIN CENTER PLLC
NPI 1003943408
Dermatology in Clarkston, MI

Active since February 27, 2007CLIA 23D2021984 · Certificate of Compliance
5701 BOW POINTE DR, SUITE 215, CLARKSTON, MI 48346(248) 620-3376(248) 620-3379 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarkston Dermatology & Vein Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARKSTON DERMATOLOGY & VEIN CENTER PLLC (NPI 1003943408) is a healthcare organization registered as a dermatology in Clarkston, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2028 and lists Wendy L Mcfalda, Member, as its authorized official.

NPPES Registry Identity

NPI1003943408
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLARKSTON DERMATOLOGY & VEIN CENTER PLLC
Location Address5701 BOW POINTE DR, SUITE 215Clarkston, MI 48346-3198
Mailing Address5701 Bow Pointe Dr, Suite 215Clarkston, MI 48346-3198 · (248) 620-3376 · Fax (248) 620-3379
Phone(248) 620-3376
Fax(248) 620-3379
Organization SubpartNo
Authorized OfficialWendy L McfaldaMember · (248) 620-3376
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJune 8, 2015
✔ NPI 1003943408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 5101014699
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.
5701 BOW POINTE DR, Clarkston, MI 48346
Open in Google Maps ↗

Other Identifiers 5

Other0756301335MI · Blue Choice
Other0P14750MI · Medicare Plus Blue
OtherDD8092MI · Medicare Railroad
Medicare PIN0P14750MI
Other0756301335MI · Blue Care Network

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D2021984

Clarkston Dermatology · Clarkston, MI
Active · expires Feb 5, 2028
CLIA Number23D2021984
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorBrian A. Kopitzki
Laboratory Phone(330) 749-8623
Laboratory LocationClarkston Dermatology5701 Bow Pointe Drive Suite 215, Clarkston, MI 48346
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY S KWARTOWITZ D.O.
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
NORTH OAKLAND EAR NOSE &THROAT CENTERS PC
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
DR. TIMOTHY R ONEILL DO
Family Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Oakland County (248) 625-2621
MRS. SUSAN LOUISE CLARK NP
Nurse Practitioner (Psychiatric/Mental Health)
5701 BOW POINTE DR, SUITE 225
CLARKSTON, MI 48346
Oakland County (248) 384-8300
DR. SCOTT SIMECEK II D.O.
Internal Medicine (Pulmonary Disease)
5701 BOW POINTE DR, STE 365
CLARKSTON, MI 48346
Oakland County (248) 922-9283
WILLIAM E RIZZO MD
Internal Medicine
5701 BOW POINTE DR, SUITE 120
CLARKSTON, MI 48346
Oakland County (248) 625-2273
DR. NAVEEN GUNDA REDDY M.D.
Internal Medicine (Gastroenterology)
5701 BOW POINTE DR, SUITE 370
CLARKSTON, MI 48346
Oakland County (248) 625-4055
VASCULAR SURGERY ASSOC, P.C.
Surgery (Vascular Surgery)
5701 BOW POINTE DR, SUITE 2010
CLARKSTON, MI 48346
Oakland County (248) 620-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clarkston Dermatology & Vein Center PLLC's NPI number?

The NPI number for Clarkston Dermatology & Vein Center PLLC is 1003943408. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Clarkston Dermatology & Vein Center PLLC located?

Clarkston Dermatology & Vein Center PLLC is located at 5701 Bow Pointe Dr Suite 215, Clarkston, MI 48346. The listed phone number is (248) 620-3376.

What is Clarkston Dermatology & Vein Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Clarkston Dermatology & Vein Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2021984) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarkston Dermatology & Vein Center PLLC accept?

Health plans from Blue Care Network of Michigan list Clarkston Dermatology & Vein Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarkston Dermatology & Vein Center PLLC was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.