NORTHEAST FAMILY DERMATOLOGY CENTER
NPI 1811041890
Dermatology in Clinton Township, MI
NPI Status: Active since January 23, 2007
Contact Information
42452 HAYES RD
SUITE 3
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 263-3130
Fax: (586) 263-5183
- Organization
- Dermatology
About NORTHEAST FAMILY DERMATOLOGY CENTER
This page provides the complete NPI Profile along with additional information for Northeast Family Dermatology Center, a provider established in Clinton Township, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1811041890 assigned on January 2007. The practitioner's primary taxonomy code is 207N00000X with license number 4301047653 (MI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Northeast Family Dermatology Center. The authorized official of this NPI record is Dr. Lenise Banse M.d. (Owner)
- NPI
- 1811041890
- Provider Legal Name
- LENISE A. BANSE, M.D.,P.C.
- Other Organization Name
- NORTHEAST FAMILY DERMATOLOGY CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 42452 HAYES RD SUITE 3 CLINTON TOWNSHIP, MI 48038
- Location Phone
- (586) 263-3130
- Location Fax
- (586) 263-5183
- Mailing Address
- 42452 HAYES RD SUITE 3 CLINTON TOWNSHIP, MI 48038
- Mailing Phone
- (586) 263-3130
- Mailing Fax
- (586) 263-5183
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 06-25-2010
- Code Navigator
A dermatologist like Northeast Family Dermatology Center is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301047653
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology | 4301047653 (MI) |
| 2 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology | 4301047653 (MI) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101151 | OTHER (01) | MA | PREFERRED CHOICES |
| 0P50460 | MEDICARE PIN (08) | MI | |
| DR500262 | OTHER (01) | MI | MCARE |
| 900013288 | OTHER (01) | MI | PRIORITY HEALTH |
| MO22874 | OTHER (01) | MI | TRICARE |
| 131180573496 | OTHER (01) | MA | HUMANA |
| 131180573496 | OTHER (01) | MI | HUMANA |
| E21671 | MEDICARE UPIN (02) | MI | |
| 0500688001 | OTHER (01) | MI | MEDICARE PLUS BLUE |
| 80862B | OTHER (01) | MI | HEALTH ALLIANCE PLAN |
| 0500688 | OTHER (01) | MA | BCBS OF MICHIGAN |
| 101151 | OTHER (01) | MI | CARE CHOICES |
| 0500688 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | MEDICARE |
| 0705006881 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 155665 | OTHER (01) | MI | GREAT LAKES HEALTH PLAN |
| 4037111 | OTHER (01) | MI | AETNA |
| 2806900 | MEDICAID (05) | MI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1811041890, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811041890, enumerated as an "organization" on January 23, 2007.
The provider is located at 42452 HAYES RD SUITE 3 CLINTON TOWNSHIP, MI 48038 and the phone number is (586) 263-3130.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Tricare, Humana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
