BLUE SKIES DERMATOLOGY
NPI 1104090794
Dermatology in Saint Clair Shores, MI

Active since April 15, 2008
29167 JEFFERSON AVE, SUITE B, SAINT CLAIR SHORES, MI 48081(586) 296-1301(586) 296-1304 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Skies Dermatology NPPES

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

BLUE SKIES DERMATOLOGY (NPI 1104090794) is a healthcare organization registered as a dermatology in Saint Clair Shores, Michigan and active in the NPI registry since April 2008. The organization lists Colene Marie Calo, Physician, as its authorized official.

NPPES Registry Identity

NPI1104090794
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE SKIES DERMATOLOGY
Location Address29167 JEFFERSON AVE, SUITE BSaint Clair Shores, MI 48081-1331
Mailing Address29167 Jefferson Ave, Suite BSaint Clair Shores, MI 48081-1331 · (586) 296-1301 · Fax (586) 296-1304
Fax(586) 296-1304
Organization SubpartNo
Authorized OfficialColene Marie CaloPhysician · (586) 296-1301
Enumeration DateApril 15, 2008
Last NPPES UpdateApril 24, 2008
NPI 1104090794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 012868
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.
29167 JEFFERSON AVE, Saint Clair Shores, MI 48081

Other Identifiers 1

Medicare UPINH04371MI

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

Other Providers at the Same Location NPPES

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

Surgery (Plastic and Reconstructive Surgery)
29167 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48081

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 Blue Skies Dermatology's NPI number?

The NPI number for Blue Skies Dermatology is 1104090794. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Blue Skies Dermatology located?

Blue Skies Dermatology is located at 29167 Jefferson Ave Suite B, Saint Clair Shores, MI 48081. The listed phone number is (586) 296-1301.

What is Blue Skies Dermatology's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Skies Dermatology was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.