DR. ALI MOIIN (NPI# 1255313979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255313979 |
| Entity Type | Individual |
| Full Name | DR. ALI MOIIN |
| Credential | MD |
| Practice Address |
1575 W Big Beaver Rd Suite C12 Troy MI 48084-3525 |
| Practice Telephone | 2486437677 |
| Practice Fax Number | 2486437679 |
| Mailing Telephone | 2486437677 |
| Mailing Fax Number | 2486437679 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2014-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301059655 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4251045 10 | 05 |
| Street Address |
1575 W BIG BEAVER RD SUITE C12 |
| City | TROY |
| State | MI |
| Zip Code | 48084-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841593837 | Anthony Vincent Potts Od PC | Optometrist | 1575 W Big Beaver Rd, C11, Troy, MI 48084-3536 | 2010-12-13 |
| 1750518031 | A Comprehensive Dermatology Center | Specialist | 1575 W Big Beaver Rd, Ste C12, Troy, MI 48084-3536 | 2009-06-15 |
| 1972765998 | Arturo L Mojares M.d. PC | Respite Care | 1575 W Big Beaver Rd, Bldg C10, Troy, MI 48084-3536 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1831356245 | John A Brendese | Dermatology | 2402 22nd St, Troy, NY 12180 | 2008-05-22 |
| 1528236692 | Catherine Mcconnell Ogawa | Dermatology | 6949 Erin Way, Troy, MI 48098-2173 | 2008-02-12 |
| 1649316761 | Hyman Yee | Dermatology | 3803 Edgemont Dr, Troy, MI 48084-1448 | 2007-01-29 |
| 1700932860 | Jessica M Macdougall | Dermatology | 2221 Livernois Road, Suite 101, Troy, MI 48083 | 2007-01-25 |
| 1871605394 | John A Brendese Md PC | Dermatology | 2402 22nd Street, Troy, NY 12180 | 2006-08-31 |
| 1356395719 | Michelle M Choucair | Dermatology | 3006 N County Road 25a Ste 200, Troy, OH 45373-1372 | 2006-05-20 |
| 1316910649 | Ann E Hern | Dermatology | 230 W Maple Rd, Suite 200, Troy, MI 48084-5435 | 2006-02-08 |
| 1265422497 | George J Murakawa | Dermatology | 255 Kirts Blvd, Troy, MI 48084-5260 | 2005-10-27 |
| 1548250855 | Lori Marcum Fedoronko | Dermatology | 1350 Kirts Blvd, Suite 155, Troy, MI 48084-4851 | 2005-10-27 |
| 1437149259 | Mohammad Ghaemi | Dermatology | 4792 Rochester Rd, Suite B, Troy, MI 48085-4929 | 2005-10-24 |
| Find all providers in TROY | ||||
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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.