DR. MARY BETH ANDERSON (NPI# 1457419160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457419160 |
| Entity Type | Individual |
| Full Name | DR. MARY BETH ANDERSON |
| Credential | D.O. |
| Practice Address |
18756 Millar Rd Clinton Township MI 48036-2095 |
| Practice Telephone | 5863810177 |
| Practice Fax Number | 8599877661 |
| Mailing Telephone | 5863810177 |
| Mailing Fax Number | 8599877661 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
5101011355 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 2155003214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689693228 | Mary Beth Anderson | Social Worker | Jblm 9040a Jackson Ave, Tacoma, WA 98431-1100 | 2006-07-18 |
| Street Address |
18756 MILLAR RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48036-2095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856368 | James B Anderson | Orthopaedic Surgery | 18756 Millar Rd, Clinton Township, MI 48036-2095 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
| 1770804312 | David Phillip Arps | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-06-17 |
| 1861712994 | Joshua R Bradish | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2010-06-11 |
| 1033351044 | Rajiv Michael Patel | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2009-04-06 |
| 1720292493 | Michelle R Young | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-05-10 |
| 1992828560 | Limin Yu | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-04-09 |
| 1477601185 | Min W. Lee | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
| 1326120023 | Kimberley Gretchen Behrens | Pathology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2006-10-20 |
| 1730260183 | Douglas R Fullen | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-18 |
| 1740397124 | Kent Pathology Laboratory Pllc | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on DR. MARY BETH ANDERSON.
| 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.