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COASTAL DERMATOLOGY PLC
NPI 1275127722
Dermatology in Traverse City, MI

Active since February 25, 2021CLIA 23D2262974 · Microscopy
954 BUSINESS PARK DR STE 5, TRAVERSE CITY, MI 49686(231) 252-3200(231) 252-3206 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Dermatology Plc NPPES

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

COASTAL DERMATOLOGY PLC (NPI 1275127722) is a healthcare organization registered as a dermatology in Traverse City, Michigan and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through June 20, 2028 and lists Paula Lyn Cahill, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1275127722
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERMATOLOGY PLC
Location Address954 BUSINESS PARK DR STE 5Traverse City, MI 49686-8763
Mailing Address9900 E Carter RdTraverse City, MI 49684-5528 · (231) 252-3200
Phone(231) 252-3200
Fax(231) 252-3206
Organization SubpartNo
Authorized OfficialPaula Lyn CahillSole Member · (231) 252-3200
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1275127722 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.
954 BUSINESS PARK DR STE 5, Traverse City, MI 49686
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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 for Provider-Performed Microscopy Procedures (PPMP) 23D2262974

Coastal Dermatology, Plc · Traverse City, MI
Active · expires Jun 20, 2028
CLIA Number23D2262974
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorPaula Cahill
Laboratory Phone(231) 252-3200
Laboratory LocationCoastal Dermatology, Plc954 Business Park Drive Suite 5, Traverse City, MI 49686
CLIA data matches this NPI record on: Address 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

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

INSIGNIA COUNSELING SERVICE LLC
Social Worker (Clinical)
954 BUSINESS PARK DR STE 5
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 632-0204

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 Coastal Dermatology Plc's NPI number?

The NPI number for Coastal Dermatology Plc is 1275127722. It was assigned to this organization in the NPPES registry on February 25, 2021.

Where is Coastal Dermatology Plc located?

Coastal Dermatology Plc is located at 954 Business Park Dr Ste 5, Traverse City, MI 49686. The listed phone number is (231) 252-3200.

What is Coastal Dermatology Plc's specialty?

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

Does Coastal Dermatology Plc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2262974) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Dermatology Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Coastal Dermatology Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Dermatology Plc was last updated on February 25, 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.