DR. MICHAEL J MAHON (NPI# 1013904549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013904549 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J MAHON |
| Credential | D.O. |
| Practice Address |
21141 Middlebelt Rd Farmington Hills MI 48336-5516 |
| Practice Telephone | 2484777022 |
| Practice Fax Number | 2484779370 |
| Mailing Telephone | 2484777022 |
| Mailing Fax Number | 2484779370 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5101006141 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0756303894 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447784723 | Michael Colin Mahon | Internal Medicine | 7505 Osler Dr Ste 402, Towson, MD 21204-7739 | 2017-04-13 |
| 1083256754 | Michael Neal Mahon | Counselor | 765 E Hamilton Ave, Flint, MI 48505-4707 | 2019-10-14 |
| 1588999643 | Michael E. Mahon | Counselor | 11709 Old Ballas Rd, Suite #103, Saint Louis, MO 63141-7029 | 2009-10-07 |
| Street Address |
21141 MIDDLEBELT RD |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427692276 | H2 Dermatology Pllc | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2019-11-05 |
| 1285016303 | Derek Hirschman | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2015-06-25 |
| 1255722104 | Daniel Patrick Tomlinson | Nurse Practitioner | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2015-02-13 |
| 1013183052 | Michael Mahon D O PC | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2008-04-30 |
| 1184665986 | Botsford General Hospital | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952382079 | Wendy I Sadoff | Dermatology | 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 | 2005-11-07 |
| 1255323341 | Barry I Auster | Dermatology | 31420 Northwestern Hwy, Suite 150, Farmington Hills, MI 48334-2508 | 2005-08-16 |
| 1427692276 | H2 Dermatology Pllc | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2019-11-05 |
| 1700445525 | Brittany Valk | Dermatology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2019-06-06 |
| 1548827710 | Nedyalko Nedyalkov Ivanov | Dermatology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2019-05-23 |
| 1932698727 | Katherine Corwin | Dermatology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2018-05-07 |
| 1811348089 | Kelsey Robitaille | Dermatology | 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 | 2016-06-28 |
| 1285016303 | Derek Hirschman | Dermatology | 21141 Middlebelt Rd, Farmington Hills, MI 48336-5516 | 2015-06-25 |
| 1043556301 | Jon Blum | Dermatology | 32905 W 12 Mile Rd, Suite 330, Farmington Hills, MI 48334-3342 | 2012-12-13 |
| 1386934958 | Wendy Sadoff Md Dermatology PC | Dermatology | 31360 Northwestern Hwy, Farmington Hills, MI 48334-2523 | 2011-04-15 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.