ADVANCED DERMATOLOGY OF MICHIGAN PC
NPI 1851708929
Dermatology in Wyandotte, MI

Active since July 21, 2014CLIA 23D0369062 · Accreditation
1500 EUREKA RD, WYANDOTTE, MI 48192(734) 282-2500 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dermatology Of Michigan Pc NPPES

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

ADVANCED DERMATOLOGY OF MICHIGAN PC (NPI 1851708929) is a healthcare organization registered as a dermatology in Wyandotte, Michigan and active in the NPI registry since July 2014. The organization holds an CLIA Accreditation certificate valid through September 20, 2027 and lists Matt Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1851708929
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF MICHIGAN PC
Location Address1500 EUREKA RDWyandotte, MI 48192-6103
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Organization SubpartNo
Authorized OfficialMatt LeavittOwner · (407) 875-2080
Enumeration DateJuly 21, 2014
NPI 1851708929 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.

1500 EUREKA RD, Wyandotte, MI 48192

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

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 Accreditation 23D0369062

Advanced Dermatology Of Michigan · Wyandotte, MI
Active · expires Sep 20, 2027
CLIA Number23D0369062
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorMichael W. Whitworth
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology Of Michigan1500 Eureka Road, Wyandotte, MI 48192
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology (MOHS-Micrographic Surgery)
1500 EUREKA RD
WYANDOTTE, MI 48192
Nurse Practitioner (Family)
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology (MOHS-Micrographic Surgery)
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192
Physician Assistant
1500 EUREKA RD
WYANDOTTE, MI 48192
Nurse Practitioner (Family)
1500 EUREKA RD
WYANDOTTE, MI 48192
Dermatology
1500 EUREKA RD
WYANDOTTE, MI 48192

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 Advanced Dermatology Of Michigan PC's NPI number?

The NPI number for Advanced Dermatology Of Michigan PC is 1851708929. It was assigned to this organization in the NPPES registry on July 21, 2014.

Where is Advanced Dermatology Of Michigan PC located?

Advanced Dermatology Of Michigan PC is located at 1500 Eureka Rd, Wyandotte, MI 48192. The listed phone number is (734) 282-2500.

What is Advanced Dermatology Of Michigan PC's specialty?

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

Does Advanced Dermatology Of Michigan PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0369062) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology Of Michigan PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Advanced Dermatology Of Michigan PC 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 Advanced Dermatology Of Michigan PC was last updated on July 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.