ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY
NPI 1861430779
Dermatology - Dermatopathology in Traverse City, MI

Q: What is Associates In Dermatology Of Traverse City PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since June 03, 2006

3643 W FRONT ST, TRAVERSE CITY, MI 49684(231) 935-0625(231) 935-0626 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Associates In Dermatology Of Traverse City NPPES

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

ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY (NPI 1861430779) is a healthcare organization registered as a dermatopathology in Traverse City, Michigan and active in the NPI registry since June 2006. The organization lists Joan Michelle Griner, President, as its authorized official.

NPPES Registry Identity

NPI1861430779

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC

Location Address3643 W FRONT STTraverse City, MI 49684-7759

Mailing Address3643 W Front StTraverse City, MI 49684-7760 · (231) 935-0625 · Fax (231) 935-0626

Phone(231) 935-0625

Fax(231) 935-0626

Organization SubpartNo

Authorized OfficialJoan Michelle GrinerPresident · (231) 935-0625

Enumeration DateJune 3, 2006

Last NPPES UpdateOctober 25, 2007

✔ NPI 1861430779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in MI · JG058054

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

3643 W FRONT ST, Traverse City, MI 49684

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Other Names 1

Doing Business AsAssociates In Dermatology Of Traverse City

Other Identifiers 4

Medicare UPINH53601MI

OtherDF3512MI · Railroad Medicare

Medicare PINOM97620MI

Medicare UPINF85530MI

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associates In Dermatology Of Traverse City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Associates In Dermatology Of Traverse City, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Raymond Dean, MD

Dermatology

NPI 1023033255

3643 W FRONT ST STE A
Traverse City, MI 49684

(231) 935-0620

✔ PECOS✔ Accepts MedicareSame address

Joan Griner Licht, MD

Dermatology

NPI 1710902945

3643 W FRONT ST STE A
Traverse City, MI 49684

(231) 935-0620

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Kelly, D.O.

Dermatology

NPI 1770565384

3643 W FRONT ST SUITE A
Traverse City, MI 49684

(231) 935-0620

✔ PECOS✔ Accepts MedicareSame address

Taylor Adlam, MD

Dermatology

NPI 1003473851

18100 OAKWOOD BLVD STE 300
Dearborn, MI 48124

(313) 240-4900

✔ PECOS✔ Accepts Medicare210 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Associates In Dermatology Of Traverse City PC's NPI number?

The NPI number for Associates In Dermatology Of Traverse City PC is 1861430779. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Associates In Dermatology Of Traverse City.

Where is Associates In Dermatology Of Traverse City PC located?

Associates In Dermatology Of Traverse City PC is located at 3643 W Front St, Traverse City, MI 49684. The listed phone number is (231) 935-0625.

What is Associates In Dermatology Of Traverse City PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Associates In Dermatology Of Traverse City PC enrolled in Medicare?

Yes. Associates In Dermatology Of Traverse City PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associates In Dermatology Of Traverse City PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Associates In Dermatology Of Traverse City PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Associates In Dermatology Of Traverse City PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Associates In Dermatology Of Traverse City 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 Associates In Dermatology Of Traverse City PC was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.