STONY CREEK DERMATOLOGY PLLC
NPI 1134088164
Dermatology in Shelby Twp, MI

Active since January 16, 2026CLIA 23D2343717 · Microscopy
52915 MOUND RD, SHELBY TWP, MI 48316(800) 290-5282(937) 534-0166 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stony Creek Dermatology Pllc NPPES

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

STONY CREEK DERMATOLOGY PLLC (NPI 1134088164) is a healthcare organization registered as a dermatology in Shelby Twp, Michigan and active in the NPI registry since January 2026. The organization holds a CLIA Microscopy certificate valid through May 11, 2028 and lists Elizabeth Messenger, President, as its authorized official.

NPPES Registry Identity

NPI1134088164
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTONY CREEK DERMATOLOGY PLLC
Location Address52915 MOUND RDShelby Twp, MI 48316-3266
Mailing Address52915 Mound RdShelby Twp, MI 48316-3266 · (586) 786-8850 · Fax (586) 786-8851
Fax(937) 534-0166
Organization SubpartNo
Authorized OfficialElizabeth MessengerPresident · (586) 786-8850
Enumeration DateJanuary 16, 2026
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1134088164 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.
52915 MOUND RD, Shelby Twp, MI 48316

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

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2343717

Stony Creek Dermatology PLLC · Shelby Township, MI
Active · expires May 11, 2028
CLIA Number23D2343717
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorElizabeth A. Messenger
Laboratory Phone(586) 786-8850
Laboratory LocationStony Creek Dermatology PLLC52915 Mound Road, Shelby Township, MI 48316
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

Dermatology
52915 MOUND RD
SHELBY TOWNSHIP, MI 48316
Family Medicine
52915 MOUND RD
SHELBY TOWNSHIP, MI 48316
Physician Assistant
52915 MOUND RD
SHELBY TOWNSHIP, MI 48316
Physician Assistant
52915 MOUND RD
SHELBY TWP, MI 48316

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 Stony Creek Dermatology PLLC's NPI number?

The NPI number for Stony Creek Dermatology PLLC is 1134088164. It was assigned to this organization in the NPPES registry on January 16, 2026.

Where is Stony Creek Dermatology PLLC located?

Stony Creek Dermatology PLLC is located at 52915 Mound Rd, Shelby Twp, MI 48316. The listed phone number is (800) 290-5282.

What is Stony Creek Dermatology PLLC's specialty?

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

Does Stony Creek Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2343717) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stony Creek Dermatology PLLC was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.