NORTHEAST FAMILY DERMATOLOGY CENTER
NPI 1811041890
Dermatology in Clinton Township, MI

Active since January 23, 2007
42452 HAYES RD, SUITE 3, CLINTON TOWNSHIP, MI 48038(586) 263-3130(586) 263-5183 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Family Dermatology Center NPPES

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

NORTHEAST FAMILY DERMATOLOGY CENTER (NPI 1811041890) is a healthcare organization registered as a dermatology in Clinton Township, Michigan and active in the NPI registry since January 2007. The organization lists Lenise Banse, Owner, as its authorized official.

NPPES Registry Identity

NPI1811041890
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLENISE A. BANSE, M.D.,P.C.
Location Address42452 HAYES RD, SUITE 3Clinton Township, MI 48038-6771
Mailing Address42452 Hayes Rd, Suite 3Clinton Township, MI 48038-6771 · (586) 263-3130 · Fax (586) 263-5183
Fax(586) 263-5183
Organization SubpartNo
Authorized OfficialLenise BanseOwner · (586) 263-3130
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJune 25, 2010
NPI 1811041890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 4301047653
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.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 4301047653 (MI)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 4301047653 (MI)
42452 HAYES RD, Clinton Township, MI 48038

Other Names 1

Other NameNortheast Family Dermatology Center

Other Identifiers 17

Other101151MA · Preferred Choices
Medicare PIN0P50460MI
OtherDR500262MI · Mcare
Other900013288MI · Priority Health
OtherMO22874MI · Tricare
Other131180573496MA · Humana
Other131180573496MI · Humana
Medicare UPINE21671MI
Other0500688001MI · Medicare Plus Blue
Other80862BMI · Health Alliance Plan
Other0500688MA · Bcbs Of Michigan
Other101151MI · Care Choices
Medicare ID-Type Unspecified0500688MI · Medicare
Other0705006881MI · Blue Cross Blue Shield Of Michigan
Other155665MI · Great Lakes Health Plan
Other4037111MI · Aetna
Medicaid2806900MI

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dermatology
42452 HAYES RD, SUITE 3
CLINTON TOWNSHIP, MI 48038
Dermatology
42452 HAYES RD, SUITE 3
CLINTON TOWNSHIP, MI 48038

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 Lenise A. Banse, M.D.,p.C.'s NPI number?

The NPI number for Lenise A. Banse, M.D.,p.C. is 1811041890. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is also known as Northeast Family Dermatology Center.

Where is Lenise A. Banse, M.D.,p.C. located?

Lenise A. Banse, M.D.,p.C. is located at 42452 Hayes Rd Suite 3, Clinton Township, MI 48038. The listed phone number is (586) 263-3130.

What is Lenise A. Banse, M.D.,p.C.'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 Lenise A. Banse, M.D.,p.C. was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.