ARNOLD C. FELLMAN, M.D., P.C. (NPI# 1295931517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295931517 |
| Entity Type | Organization |
| Organization Name | ARNOLD C. FELLMAN, M.D., P.C. |
| Practice Address |
1701 Baldwin Ave Suite 207 Pontiac MI 48340-3412 |
| Practice Telephone | 2488582255 |
| Practice Fax Number | 2488588010 |
| Mailing Telephone | 2488582255 |
| Mailing Fax Number | 2488588010 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DR. ARNOLD C. FELLMAN (PRESIDENT) |
| Authorized Official Telephone | 2488582255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301029683 | MI | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
4301029683 | MI | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
4301029683 | MI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
4301029683 | MI | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 4301029683 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | 070F339580 | 01 |
| MI | HAP | 01361A | 01 |
| MI | MEDICARE TRAVELERS | 71045012 | 01 |
| MI | CHAMPUS | MO13980 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 070F339580 | 01 |
| MI | 101063382 | 05 | |
| MI | MEDICARE GROUP NUMBER | 0P46320 | 01 |
| MI | AETNA | 4033181 | 01 |
| Street Address |
1701 BALDWIN AVE SUITE 207 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664254 | Deborah Lynne Eckert | Nurse Practitioner | 1701 Baldwin Ave, Suite 101, Pontiac, MI 48340-3412 | 2005-07-26 |
| 1881189918 | Mackenzie Bedor | Social Worker | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2018-07-01 |
| 1457711202 | Oakland Integrated Healthcare Network | Clinic/Center | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-03-07 |
| 1780044131 | Molly Mitchell | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2016-02-27 |
| 1578931630 | Arlie Land | Pharmacist | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2015-09-07 |
| 1528330420 | Great Lakes Foot Care P.C. | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2012-02-07 |
| 1912237512 | Louis D Soverinsky D.o. Pllc | Clinic/Center | 1701 Baldwin Ave, Suite 203, Pontiac, MI 48340-3412 | 2010-01-04 |
| 1295981470 | Deshonda Shonta Tyynismaa | Nurse Practitioner | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-08-07 |
| 1184892143 | Pine Knob Pharmacy #6 | Durable Medical Equipment & Medical Supplies | 1701 Baldwin Ave, Pontiac, MI 48340-3412 | 2008-02-13 |
| 1053496554 | Steven R Binder | Podiatrist | 1701 Baldwin Ave, B, Pontiac, MI 48340-3412 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1821132895 | Carl J Cohen Md PC | Dermatology | 44555 Woodward Ave, Ste 504, Pontiac, MI 48341-5031 | 2007-02-16 |
| 1053463778 | Mclaren Oakland | Dermatology | 50 N Perry St, Pontiac, MI 48342-2217 | 2007-01-16 |
| 1770571424 | Arnold C. Fellman | Dermatology | 1701 Baldwin Ave, Suite 207, Pontiac, MI 48340-3412 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595616 | Diamond Dermatology, Pllc. | Dermatology | 3206 N Main St, Royal Oak, MI 48073-3424 | 2020-07-16 |
| 1477179174 | Alicia Scopis | Dermatology | 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 | 2020-06-18 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1770080939 | Emily Rose Davis | Dermatology | 5333 Mcauley Dr Rm 2111, Ypsilanti, MI 48197-1097 | 2018-04-12 |
| 1245744242 | Maureen Cliffel Do Pllc | Dermatology | 26454 Woodward Ave Ste 200, Royal Oak, MI 48067-0969 | 2017-11-29 |
| 1306375365 | Lindsay Christina El Awadi | Dermatology | 50182 Schoenherr Rd, Shelby Twp, MI 48315-3136 | 2017-06-05 |
| 1396278099 | Sasank Konda | Dermatology | 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 | 2017-04-10 |
| 1790132439 | Saara Kanervikkoaho-crane | Dermatology | 1517 Granger Ave, Ann Arbor, MI 48104-4426 | 2016-05-23 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1679955041 | Luke D Killpack | Dermatology | 5333 Mcauley Dr Rm 5003, Ypsilanti, MI 48197-1020 | 2015-06-22 |
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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.