REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI# 1528097128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528097128 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN |
| Practice Address |
1500 East Medical Center Drive 1st Floor Taubman Center Recp B Ann Arbor MI 48109-0314 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364054 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP) |
| Authorized Official Telephone | 7349363568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 070H176100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102774 | Regents of The University of Michigan | Prosthetic/Orthotic Supplier | 7500 Challis Rd Ste 1000, Brighton, MI 48116-9416 | 2018-08-06 |
| 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 |
| 1619474376 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 39901 Traditions Dr Ste 230, Northville, MI 48168 | 2018-04-10 |
| 1619474491 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 1974 N Huron River Dr Ste 100, Ypsilanti, MI 48197-1894 | 2018-04-09 |
| 1114345428 | Regents of The University of Michigan | Hearing Aid Equipment | 475 Marketplace, Ann Arbor, MI 48108 | 2014-04-03 |
| 1487833588 | Regents of The University of Michigan | Anesthesiology | 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 | 2007-10-25 |
| 1801933254 | Regents of The University of Michigan | Clinic/Center | 4270 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2007-02-01 |
| 1003967035 | Regents of The University of Michigan | Pharmacy | 1500 E Medical Center Dr Spc 5008, Spc 5008, Ann Arbor, MI 48109-5008 | 2007-01-16 |
| 1770508350 | Regents of The University of Michigan | Podiatrist | 400 E Eisenhower Pkwy, Suite B, Ann Arbor, MI 48108 | 2006-07-13 |
| 1902821572 | Regents of The University of Michigan | Optometrist | 5728 Whitmore Lake Rd, Brighton, MI 48116 | 2006-07-13 |
| Street Address |
1500 EAST MEDICAL CENTER DRIVE 1ST FLOOR TAUBMAN CENTER RECP B |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-0314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447256912 | Keow Mei Goh | Urology | 1500 East Medical Center Drive, 2nd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5330 | 2005-06-21 |
| 1407479116 | Juan Paulo Noda | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, 2920 Taubman Center, Spc 5331, Ann Arbor, MI 48109-5331 | 2020-05-28 |
| 1619534658 | Matthew Frank Grzywinski | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-24 |
| 1295392439 | Vikas Shahi | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1043877285 | Jia Liu | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1689231821 | Maxwell Donovan Raithel | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1104483346 | William Jeffrey Sturdavant | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1780241927 | Michael Ian Hovenden | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1407413644 | Adam Izzat Kadri | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| 1760049902 | Natalja Patricia Rosculet | Student in an Organized Health Care Education/Training Program | 1500 East Medical Center Drive, B1-380 Taubman Center, Ann Arbor, MI 48109 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| 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 |
|---|---|---|---|---|
| 1790132439 | Saara Kanervikkoaho-crane | Dermatology | 1517 Granger Ave, Ann Arbor, MI 48104-4426 | 2016-05-23 |
| 1174915532 | Sonam Rama | Dermatology | 305 E Eisenhower Pkwy Ste 320, Ann Arbor, MI 48108 | 2015-02-23 |
| 1235576174 | Matthew Paul Vasievich | Dermatology | 4200 Whitehall Dr Ste 250, Ann Arbor, MI 48105-9694 | 2013-06-02 |
| 1013114602 | Frank Wang | Dermatology | 1500 E. Medical Ctr Dr, 1st Floor Taubman Center Recp B, Ann Arbor, MI 48109-5314 | 2007-06-28 |
| 1306967542 | Arthur P Bertolino | Dermatology | 2800 Plymouth Rd, Ann Arbor, MI 48105-2430 | 2007-04-03 |
| 1770673436 | Anastasia Petro Dimick | Dermatology | 2433 Oak Valley Dr., Ste. 400, Ann Arbor, MI 48103 | 2006-10-13 |
| 1962592626 | Kathy Laing, M.d., P.C. | Dermatology | 2433 Oak Valley Drive, Suite 400, Ann Arbor, MI 48103 | 2006-10-13 |
| 1255428025 | Timothy M Johnson | Dermatology | 1979 Huron Pkwy, Ann Arbor, MI 48104-4141 | 2006-10-05 |
| 1487600474 | Muna K. Farjo,m.d., P.C. | Dermatology | 3001 Plymouth Rd, Suite # 101, Ann Arbor, MI 48105-3205 | 2006-05-25 |
| 1407841349 | Joan Marie Rindler | Dermatology | 2301 S Huron Pkwy, Suite 2b, Ann Arbor, MI 48104-5133 | 2005-09-16 |
| 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.