DAVID M. OZOG (NPI# 1083792113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083792113 |
| Entity Type | Individual |
| Full Name | DAVID M. OZOG |
| Credential | M.D. |
| Practice Address |
3031 W Grand Blvd Detroit MI 48202-3046 |
| Practice Telephone | 3139162454 |
| Mailing Telephone | 3139162454 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 4301076533 | MI | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
4301076533 | MI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
4301076533 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3031 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562193 | Carin Yates | Genetic Counselor, MS | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2005-10-18 |
| 1548899016 | Patrick Harding Oconnell | Psychiatry & Neurology | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2020-04-06 |
| 1841851730 | Firas Shalabi | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2019-06-22 |
| 1659938298 | Brenda Jones | Social Worker | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2019-05-20 |
| 1336703065 | Tyler X.r. Wester | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3026 | 2019-04-29 |
| 1699267658 | Alyxandra Marie Gohlke | Genetic Counselor, MS | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2018-06-05 |
| 1033643721 | Jasmine Tremell Gray | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 | 2017-04-19 |
| 1508390576 | Zakiya Stallings | Internal Medicine | 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 | 2017-04-17 |
| 1710411954 | Akashdeep Kaur Dhaliwal | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 | 2017-04-14 |
| 1447784541 | Kaushik Venkat Govindaraju | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd, Suite 450, Detroit, MI 48202-3046 | 2017-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1407309560 | St Joseph Dermatology and Vein Clinic Pllc | Dermatology | 2500 Niles Rd Ste 10a, Saint Joseph, MI 49085-3272 | 2016-07-25 |
| 1003290750 | El Tal Md PC | Dermatology | 555 Midtowne St Ne Ste 301, Grand Rapids, MI 49503-5729 | 2015-07-13 |
| 1912347923 | Forefront Dermatology, S.c. | Dermatology | 4362 Cascade Road, Suite 206, Grand Rapids, MI 49546 | 2013-07-05 |
| 1699003699 | Robert G Lee P C | Dermatology | 200 S Wenona St Ste G96, Bay City, MI 48706-8831 | 2009-12-02 |
| 1265645535 | Academic Dermatology & Cosmetic Surgery Center, Pllc | Dermatology | 50182 Schoenherr Road, Shelby Twp., MI 48315 | 2007-05-07 |
| 1649300880 | Skin Care Physicians PC | Dermatology | 2026 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-03-06 |
| 1437133097 | Kent Jerome Krach | Dermatology | 43900 Garfield Road, Suite 100, Clinton Township, MI 48038 | 2005-12-06 |
| 1134124217 | Montgomery O Gillard | Dermatology | 4990 W Clark Rd, Building A, Suite 200, Ypsilanti, MI 48197-1149 | 2005-06-16 |
| 1366906364 | Tru North Dermatology | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID M. OZOG.
| 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.