NORTHWESTERN MICHIGAN DERMATOLOGY PC
NPI 1952410094
Dermatology in Traverse City, MI
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 23D0381425
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-07-2025
About NORTHWESTERN MICHIGAN DERMATOLOGY PC
This page provides the complete NPI Profile along with additional information for Northwestern Michigan Dermatology Pc, a provider established in Traverse City, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1952410094 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maria C Carroll M.d. (Secretary)
- NPI
- 1952410094 Verify this NPI
- Provider Name
- NORTHWESTERN MICHIGAN DERMATOLOGY PC
- Entity Type
- Organization
- Location Address
- 550 MUNSON AVE SUITE 200 TRAVERSE CITY, MI 49686
- Location Phone
- (231) 935-8717
- Location Fax
- (231) 935-9230
- Mailing Address
- 550 MUNSON AVE SUITE 200 TRAVERSE CITY, MI 49686
- Mailing Phone
- (231) 935-8717
- Mailing Fax
- (231) 935-9230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 09-28-2015
- Code Navigator
A dermatologist like Northwestern Michigan Dermatology Pc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze Saver HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D0381425
- Facility Type
- Physician Office
- Certificate Effective Date
- December 08, 2023
- Certificate Expiration Date
- December 07, 2025
- Laboratory Director
- MARK R. POMARANSKI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Northwestern Michigan Dermatology Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952410094, enumerated as an "organization" on August 30, 2006.
The provider is located at 550 MUNSON AVE SUITE 200 TRAVERSE CITY, MI 49686 and the phone number is (231) 935-8717.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
