DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS
NPI 1114652831
Dermatology in Canton, MI

Q: What is Dermatology Specialists Of Rochester Hills's specialty?

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

Active since July 18, 2022CLIA 23D2077428 · Certificate of Compliance

361 N CANTON CENTER RD, CANTON, MI 48187(734) 495-1506(734) 495-1780 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 4, 2024, Aug 9, 2022, Jul 19, 2022 (3 updates tracked since 2022).

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About Dermatology Specialists Of Rochester Hills NPPES

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

DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS (NPI 1114652831) is a healthcare organization registered as a dermatology in Canton, Michigan and active in the NPI registry since July 2022. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2026, maintains a secondary practice location in Rochester Hills, and lists Kim Vanhall, Sr. Project Manager, as its authorized official.

NPPES Registry Identity

NPI1114652831

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY SPECIALISTS OF ROCHESTER HILLS

Location Address361 N CANTON CENTER RDCanton, MI 48187-5096

Mailing Address43151 Dalcoma Dr Ste 4Clinton Township, MI 48038-6306 · (586) 286-8720 · Fax (586) 649-6699

Phone(734) 495-1506

Fax(734) 495-1780

Organization SubpartNo

Authorized OfficialKim VanhallSr. Project Manager · (586) 286-8720

Enumeration DateJuly 18, 2022

Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1114652831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

361 N CANTON CENTER RD, Canton, MI 48187

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Secondary Practice Location 1

Location 1155 Rochdale Dr SRochester Hills, MI 48309-2276 · Phone (248) 608-0360 · Fax (248) 608-0362

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, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 23D2077428

Dermatology Specialists Of Canton · Canton, MI

Active · expires Dec 11, 2026

CLIA Number23D2077428

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2024

Certificate Expiration DateDecember 11, 2026

Laboratory DirectorMatteo C. Lopiccolo

Laboratory Phone(734) 495-1506

Laboratory LocationDermatology Specialists Of Canton361 N Canton Center Rd, Canton, MI 48187

CLIA data matches this NPI record on: Address Phone

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 5

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

MICHAEL JAMES VISCONTI DO

Dermatology