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LIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS
NPI 1689413445
Dermatology - MOHS-Micrographic Surgery in Saint Clair Shores, MI

Active since May 22, 2024CLIA 23D2308467 · Certificate of Compliance
26901 HARPER AVE, SAINT CLAIR SHORES, MI 48081(248) 726-7646 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lighthouse Dermatology And Skin Cancer Specialists NPPES

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

LIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS (NPI 1689413445) is a healthcare organization registered as a mohs-micrographic surgery in Saint Clair Shores, Michigan and active in the NPI registry since May 2024. The organization holds a CLIA Certificate of Compliance certificate valid through June 17, 2027, maintains a secondary practice location in Lake Orion, and lists Rachel Escobar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689413445
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLIGHTHOUSE DERMATOLOGY AND SKIN CANCER SPECIALISTS
Location Address26901 HARPER AVESaint Clair Shores, MI 48081-1971
Mailing Address6363 29 Mile RdWashington, MI 48095-2401 · (586) 381-8775
Phone(248) 726-7646
Organization SubpartNo
Authorized OfficialRachel EscobarOffice Manager · (248) 726-7646
Enumeration DateMay 22, 2024
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1689413445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
26901 HARPER AVE, Saint Clair Shores, MI 48081
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Secondary Practice Location 1

Location 120 W Clarkston RdLake Orion, MI 48362-2972 · Phone (248) 726-7646

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 of Compliance 23D2308467

Lighthouse Dermatology And Skin Cancer Specialists · Saint Clair Shores, MI
Active · expires Jun 17, 2027
CLIA Number23D2308467
Laboratory TypePhysician Office
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorMiguel A. Herrera-Martinez
Laboratory Phone(248) 726-7646
Laboratory LocationLighthouse Dermatology And Skin Cancer Specialists26901 Harper, Saint Clair Shores, MI 48081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

PAAVAN P RAILAN MD
Internal Medicine
26901 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 774-3200
DR. MIGUEL ANGEL HERRERA-MARTINEZ MD
Dermatology
26901 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (248) 726-7646
RACHEL ESCOBAR NP
Dermatology
26901 HARPER AVE
SAINT CLAIR SHORES, MI 48081
Macomb County (248) 726-7646

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 Lighthouse Dermatology And Skin Cancer Specialists's NPI number?

The NPI number for Lighthouse Dermatology And Skin Cancer Specialists is 1689413445. It was assigned to this organization in the NPPES registry on May 22, 2024.

Where is Lighthouse Dermatology And Skin Cancer Specialists located?

Lighthouse Dermatology And Skin Cancer Specialists is located at 26901 Harper Ave, Saint Clair Shores, MI 48081. The listed phone number is (248) 726-7646.

What is Lighthouse Dermatology And Skin Cancer Specialists's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Lighthouse Dermatology And Skin Cancer Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2308467) is associated with this NPI, valid through June 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lighthouse Dermatology And Skin Cancer Specialists accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lighthouse Dermatology And Skin Cancer Specialists 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 Lighthouse Dermatology And Skin Cancer Specialists was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.