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CLEAR THE DERMATOLOGY CLINIC PC
NPI 1164874616
Physician Assistant - Medical in Petoskey, MI

Active since July 08, 2016
116 W MITCHELL ST, PETOSKEY, MI 49770(231) 348-0766 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clear The Dermatology Clinic Pc NPPES

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

CLEAR THE DERMATOLOGY CLINIC PC (NPI 1164874616) is a healthcare organization registered as a medical in Petoskey, Michigan and active in the NPI registry since July 2016. The organization lists Christy Racignol, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164874616
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameCLEAR THE DERMATOLOGY CLINIC PC
Location Address116 W MITCHELL STPetoskey, MI 49770-2357
Mailing Address116 W Mitchell StPetoskey, MI 49770-2357 · (231) 348-0766
Phone(231) 348-0766
Organization SubpartNo
Authorized OfficialChristy RacignolBilling Coordinator · (231) 348-2828
Enumeration DateJuly 8, 2016
Last NPPES UpdateAugust 2, 2016
✔ NPI 1164874616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601004147
Also ListedGeneral PracticeTaxonomy 208D00000X · License 4301053221 (MI)
116 W MITCHELL ST, Petoskey, MI 49770
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

AMANDA DANIELLE GREENE
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 347-7395
MARISA PILARSKI NP
Nurse Practitioner (Family)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (586) 531-0453
MRS. COURTNEY GRIFFITH-SUMPTER PHYSICIANS ASSISTANT
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
QUICK CARE FAMILY MEDICAL CENTER PC
General Practice
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
TANYA DRINKALL
Nurse Practitioner
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
JESSICA PANOFF PA-C
Physician Assistant (Medical)
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
DR. GUSTAV JALIANG LO M.D.
General Practice
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828
CHELSEA NAVARRO P.A. C
Physician Assistant
116 W MITCHELL ST
PETOSKEY, MI 49770
Emmet County (231) 348-2828

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 Clear The Dermatology Clinic PC's NPI number?

The NPI number for Clear The Dermatology Clinic PC is 1164874616. It was assigned to this organization in the NPPES registry on July 8, 2016.

Where is Clear The Dermatology Clinic PC located?

Clear The Dermatology Clinic PC is located at 116 W Mitchell St, Petoskey, MI 49770. The listed phone number is (231) 348-0766.

What is Clear The Dermatology Clinic PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Clear The Dermatology Clinic PC was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.