ANN ARBOR DERMATOLOGY CLINIC PC (NPI# 1376765560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376765560 |
| Entity Type | Organization |
| Organization Name | ANN ARBOR DERMATOLOGY CLINIC PC |
| Practice Address |
706 W Huron St Ann Arbor MI 48103-4212 |
| Practice Telephone | 7349968757 |
| Practice Fax Number | 7349968767 |
| Mailing Telephone | 7349968757 |
| Mailing Fax Number | 7349968767 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | DR. ALBERT CRAIG CATTELL III (PRESIDENT) |
| Authorized Official Telephone | 7349968757 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4301036627 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD # | 0H11070 | 01 |
| MI | 1422078-10 | 05 | |
| PALMETTO GBA | DF9791 | 01 |
| Street Address |
706 W HURON ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569463 | Albert Craig Cattell | Dermatology | 706 W Huron St, Ann Arbor, MI 48103 | 2005-06-24 |
| 1588191951 | Andrew Donald Cattell | Nurse Practitioner | 706 W Huron St, Ann Arbor, MI 48103 | 2017-05-17 |
| 1699059907 | Ashley Marie Meyers | Physician Assistant | 706 W Huron St, Ann Arbor, MI 48103-4212 | 2011-10-05 |
| 1851559363 | Cara Wise | Physician Assistant | 706 W Huron St, Ann Arbor, MI 48103-4212 | 2008-05-30 |
| 1316057045 | David A Grekin | Dermatology | 706 W Huron St, Ann Arbor, MI 48103-4212 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417350794 | Debra Rose Jelinek Gombert | Specialist | 2872 Glazier Way, Ann Arbor, MI 48105-2443 | 2014-10-01 |
| 1295176014 | Todd Hollon | Specialist | 1500 E. Medical Center Drive, 3470 Tc, Um Neurosurgery, Ann Arbor, MI 48109-5338 | 2013-07-09 |
| 1366681116 | Cendra Lynn | Specialist | 121 Crest St, Ann Arbor, MI 48103-4251 | 2009-02-17 |
| 1851581540 | Wessam Boutros Bou-assaly | Specialist | 2155 Fuller Rd, Radiology Department/ Va Health Center, Ann Arbor, MI 48105 | 2007-07-28 |
| 1841400405 | Anne Isabella Gentry | Specialist | Ann Arbor Rehabilitation Centers, Inc., 3135 Professional Drive, Ann Arbor, MI 48104 | 2007-05-23 |
| 1851503007 | Pattricia Mary Zuba | Specialist | 1500 E. Medical Center Drive 1g225, Ann Arbor, MI 48109-0046 | 2007-05-03 |
| 1992829568 | Alpha Solutions Inc | Specialist | 900 Briarwood Cir, Ann Arbor, MI 48108-1618 | 2007-03-19 |
| 1528103835 | Sandra Suzanne Fogarty | Specialist | 269 Collingwood St, Ann Arbor, MI 48103-3824 | 2007-02-21 |
| 1184773376 | Planned Parenthood Mid and South Michigan | Specialist | 2370 W. Stadium Blvd, Ann Arbor, MI 48104-3843 | 2007-01-09 |
| 1053351536 | Neural Watch LLC | Specialist | 812 Avis Dr, Ann Arbor, MI 48108-9649 | 2006-06-06 |
| Find all providers in ANN ARBOR | ||||
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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.