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BAY AREA DERMATOLOGY
NPI 1306082755
Specialist in Traverse City, MI

Active since January 06, 2009
999 SIXTH ST, TRAVERSE CITY, MI 49684(231) 941-4114(231) 941-0878 Get Directions Write a Review

NPPES record last updated: January 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Area Dermatology NPPES

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

BAY AREA DERMATOLOGY (NPI 1306082755) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since January 2009. The organization lists James J Simons, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1306082755
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBAY AREA DERMATOLOGY
Location Address999 SIXTH STTraverse City, MI 49684-2301
Mailing Address999 Sixth StTraverse City, MI 49684-2301 · (231) 941-4114 · Fax (231) 941-0878
Phone(231) 941-4114
Fax(231) 941-0878
Organization SubpartNo
Authorized OfficialJames J SimonsSole Owner · (231) 941-4114
Enumeration DateJanuary 6, 2009
✔ NPI 1306082755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 4301039948
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
999 SIXTH ST, Traverse City, MI 49684
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Other Identifiers 1

Medicaid2114154MI

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

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 Bay Area Dermatology's NPI number?

The NPI number for Bay Area Dermatology is 1306082755. It was assigned to this organization in the NPPES registry on January 6, 2009.

Where is Bay Area Dermatology located?

Bay Area Dermatology is located at 999 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 941-4114.

What is Bay Area Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bay Area Dermatology was last updated on January 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.