KAREN ANN HEIDELBERG (NPI# 1467406439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406439 |
| Entity Type | Individual |
| Full Name | KAREN ANN HEIDELBERG |
| Credential | M.D. |
| Practice Address |
20400 Livernois Ave Detroit MI 48221-1348 |
| Practice Telephone | 3138643766 |
| Practice Fax Number | 3138648134 |
| Mailing Telephone | 3138643766 |
| Mailing Fax Number | 3138648134 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301066952 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3437329 | 05 |
| Street Address |
20400 LIVERNOIS AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48221-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726815 | Carla L Hunter Md Pllc | Family Medicine | 20400 Livernois Ave, Detroit, MI 48221-1348 | 2020-09-25 |
| 1124045075 | Heidelberg Dermatology, P.C. | Dermatology | 20400 Livernois Ave, Detroit, MI 48221-1348 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| 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 |
|---|---|---|---|---|
| 1396278099 | Sasank Konda | Dermatology | 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 | 2017-04-10 |
| 1952613168 | Brittany Dawn Carter-snell | Dermatology | 72 Erskine Street, Detroit, MI 48201-2702 | 2010-07-06 |
| 1922206580 | Carol Prince | Dermatology | 1610 West Seven Mile Rd., Detroit, MI 48203 | 2007-07-05 |
| 1083711725 | James A Brown | Dermatology | 22151 Moross, Suite 234, Detroit, MI 48236 | 2006-09-17 |
| 1346284551 | University Dermatology | Dermatology | 50 East Canfield St., Detroit, MI 48201 | 2006-06-16 |
| 1619438637 | Linna L Guan | Dermatology | 3031 W Grand Blvd Fl 8, Detroit, MI 48202-3046 | 2019-03-31 |
| 1184120602 | Elena Maxim Kurland | Dermatology | 2799 W Grand Blvd, Detroit, MI 48202 | 2018-04-03 |
| 1740731462 | Carter Snell Skin Center Plc | Dermatology | 72 Erskine Street, Detroit, MI 48201-2702 | 2016-10-18 |
| 1558723619 | Allison Zarbo | Dermatology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-03-27 |
| 1366804569 | Hany Deirawan | Dermatology | 540 E Canfield St, Detroit, MI 48201-1928 | 2016-03-26 |
| Find all providers in DETROIT | ||||
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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.