STONEGATE DERMATOLOGY
NPI 1922557347
Dermatology in Saint Joseph, MI

Active since September 27, 2016CLIA 23D2120551 · Microscopy
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085(269) 556-6000(269) 556-6020 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stonegate Dermatology NPPES

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

STONEGATE DERMATOLOGY (NPI 1922557347) is a healthcare organization registered as a dermatology in Saint Joseph, Michigan and active in the NPI registry since September 2016. The organization holds a CLIA Microscopy certificate valid through October 18, 2026 and lists Warren White, Vice President Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1922557347
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address3901 STONEGATE PARK, SUITE 300Saint Joseph, MI 49085-9137
Mailing Address3901 Stonegate Park, Suite 300Saint Joseph, MI 49085-9137 · (269) 556-6000 · Fax (269) 556-6020
Fax(269) 556-6020
Organization SubpartNo
Authorized OfficialWarren WhiteVice President Physician Practices · (269) 983-8507
Enumeration DateSeptember 27, 2016
NPI 1922557347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 5101020760
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.
3901 STONEGATE PARK, Saint Joseph, MI 49085

Other Names 1

Doing Business AsStonegate Dermatology

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

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 for Provider-Performed Microscopy Procedures (PPMP) 23D2120551

Stonegate Dermatology And Medical Spa · Saint Joseph, MI
Active · expires Oct 18, 2026
CLIA Number23D2120551
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorRiddhi J. Shah
Laboratory Phone(269) 408-4265
Laboratory LocationStonegate Dermatology And Medical Spa3901 Stonegate Park Suite 300, Saint Joseph, MI 49085
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Prosthetic/Orthotic Supplier
3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085
Surgery (Plastic and Reconstructive Surgery)
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Dentist (General Practice)
3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085
Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Physical Medicine & Rehabilitation
3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085

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 Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1922557347. It was assigned to this organization in the NPPES registry on September 27, 2016. The provider is doing business as Stonegate Dermatology.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 3901 Stonegate Park Suite 300, Saint Joseph, MI 49085. The listed phone number is (269) 556-6000.

What is Lakeland Medical Practices's specialty?

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

Does Lakeland Medical Practices hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D2120551) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.