DR. MOHAMMAD GHAEMI (NPI# 1437149259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437149259 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD GHAEMI |
| Other Name | DR. MOHAMMAD GHAEMI |
| Credential | M.D. |
| Practice Address |
4792 Rochester Rd Suite B Troy MI 48085-4929 |
| Practice Telephone | 2485283720 |
| Practice Fax Number | 2485283721 |
| Mailing Telephone | 2485283720 |
| Mailing Fax Number | 2485283721 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MG031276 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | GREAT LAKES HEALTH PLAN | 101036 | 01 |
| MI | MIDWEST HEALTH PLAN | 003004 | 01 |
| MI | MCARE | C1818 | 01 |
| MI | HAP | E21198 | 01 |
| MI | 2121856 | 05 | |
| MI | 0706323031 | BCBS | 01 |
| MI | 0706323031 | BCN | 01 |
| Street Address |
4792 ROCHESTER RD SUITE B |
| City | TROY |
| State | MI |
| Zip Code | 48085-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508287632 | Mohammad Ghaemi, M. D. | Clinic/Center | 4792 Rochester Rd, Suite B, Troy, MI 48085-4989 | 2013-12-16 |
| 1487736039 | Allergy and Asthma Center of Troy, PC | Allergy & Immunology | 4792 Rochester Rd, Troy, MI 48085-4989 | 2006-10-20 |
| 1275514127 | Asadollah Shahideh | Allergy & Immunology | 4792 Rochester Rd, Ste A, Troy, MI 48085-4929 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| 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 |
| 1255313979 | Ali Moiin | Dermatology | 1575 W Big Beaver Rd, Suite C12, Troy, MI 48084-3525 | 2005-11-17 |
| 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 |
| 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.