DR. EDWARD RUIZ (NPI# 1487610721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487610721 |
| Entity Type | Individual |
| Full Name | DR. EDWARD RUIZ |
| Credential | MD |
| Practice Address |
51850 Dequindre Rd Suite 5 Shelby Township MI 48316-2806 |
| Practice Telephone | 2486511010 |
| Practice Fax Number | 5869974279 |
| Mailing Telephone | 2486511010 |
| Mailing Fax Number | 5869974279 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301061025 | MI | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
ER061025 | MI | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ER061025 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104327804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801305701 | Edward James Ruiz II | Counselor | 572 Roxbury Rd, Stamford, CT 06902-1131 | 2017-09-22 |
| 1376179002 | Edward G Ruiz | Dietitian, Registered | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-03-13 |
| 1598961708 | Edward A Ruiz | Family Medicine | 47110 Washington St, Suite 203, La Quinta, CA 92253-2186 | 2007-06-25 |
| 1992747810 | Edward Michael Ruiz | Dentist | 17901 Governors Hwy, Suite 201a, Homewood, IL 60430-1144 | 2006-06-12 |
| Street Address |
51850 DEQUINDRE RD SUITE 5 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48316-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851924807 | Labrene Tangalos | Physician Assistant | 51850 Dequindre Rd, Shelby Township, MI 48316-2806 | 2020-02-18 |
| 1912239435 | Rosemary Kennedy Wisniewski | Occupational Therapist | 51850 Dequindre Rd, Suite 1, Shelby Township, MI 48316-2806 | 2010-02-09 |
| 1588834840 | Edward Ruiz, M.d., P.C. | Dermatology | 51850 Dequindre Rd, Suite 5, Shelby Township, MI 48316-2806 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
| 1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
| 1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
| 1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
| 1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
| 1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
| 1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
| 1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
| Find all providers in zip 48316 | ||||
| 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 |
|---|---|---|---|---|
| 1477179174 | Alicia Scopis | Dermatology | 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 | 2020-06-18 |
| 1699223982 | Elizabeth Anne White | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2016-09-14 |
| 1326386517 | Berry Dermatology, P.C. | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2013-01-22 |
| 1780848259 | Judy Helen Fontana | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2008-07-15 |
| 1588834840 | Edward Ruiz, M.d., P.C. | Dermatology | 51850 Dequindre Rd, Suite 5, Shelby Township, MI 48316-2806 | 2008-03-03 |
| 1962625053 | Edward S. Lerchin Md PC | Dermatology | 45710 Schoenherr Rd, Suite #10, Shelby Township, MI 48315-6033 | 2007-04-10 |
| 1063407955 | Andrea Marie Rosik | Dermatology | 50505 Schoenherr Rd, Suite 325, Shelby Township, MI 48315-3140 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595616 | Diamond Dermatology, Pllc. | Dermatology | 3206 N Main St, Royal Oak, MI 48073-3424 | 2020-07-16 |
| 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 |
| 1225410756 | Kelsey Louise Lawrence | Dermatology | 849 Health Park Blvd, Grand Blanc, MI 48439-7383 | 2015-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48316 |
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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.