GREAT LAKES DERMATOLOGY
NPI 1225218076
Dermatology in Novi, MI

Active since November 09, 2007
39475 LEWIS DR, SUITE 150, NOVI, MI 48377(248) 324-2222(248) 324-0009 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Dermatology NPPES

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

GREAT LAKES DERMATOLOGY (NPI 1225218076) is a healthcare organization registered as a dermatology in Novi, Michigan and active in the NPI registry since November 2007. The organization lists Michael Randy Cohen, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1225218076
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMICHAEL R COHEN, DO, PLLC
Location Address39475 LEWIS DR, SUITE 150Novi, MI 48377-2981
Mailing Address6773 Oyster CvWest Bloomfield, MI 48323-2050 · (248) 259-7733
Fax(248) 324-0009
Organization SubpartNo
Authorized OfficialMichael Randy CohenPhysician/owner · (248) 259-7733
Enumeration DateNovember 9, 2007
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
NPI 1225218076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 5101014034
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.
39475 LEWIS DR, Novi, MI 48377

Other Names 1

Doing Business AsGreat Lakes Dermatology

Other Identifiers 1

OtherDE3321MI · Medicare Railroad Carrier

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 9

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

Family Medicine
39475 LEWIS DR, SUITE 140
NOVI, MI 48377
Dietitian, Registered
39475 LEWIS DR, SUITE 110
NOVI, MI 48377
Pain Medicine (Interventional Pain Medicine)
39475 LEWIS DR, SUITE 200
NOVI, MI 48377
Dentist (General Practice)
39475 LEWIS DR, SUITE 100
NOVI, MI 48377
Counselor (Mental Health)
39475 LEWIS DR
NOVI, MI 48377
Dentist
39475 LEWIS DR, SUITE 100
NOVI, MI 48377
Physical Medicine & Rehabilitation
39475 LEWIS DR, SUITE 200
NOVI, MI 48377
Family Medicine
39475 LEWIS DR, SUITE 140
NOVI, MI 48377

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 Michael R Cohen, Do, PLLC's NPI number?

The NPI number for Michael R Cohen, Do, PLLC is 1225218076. It was assigned to this organization in the NPPES registry on November 9, 2007. The provider is doing business as Great Lakes Dermatology.

Where is Michael R Cohen, Do, PLLC located?

Michael R Cohen, Do, PLLC is located at 39475 Lewis Dr Suite 150, Novi, MI 48377. The listed phone number is (248) 324-2222.

What is Michael R Cohen, Do, PLLC'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 Michael R Cohen, Do, PLLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.