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

Q: 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.

Q: What is Advanced Dermatology Of Michigan PC's specialty?

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

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: August 16, 2026.

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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

Phone(734) 282-2500

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

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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.

DR. MICHAEL WESLEY WHITWORTH D.O.

Dermatology (MOHS-Micrographic Surgery)