ALICE C. WATSON (NPI# 1528146651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528146651 |
| Entity Type | Individual |
| Full Name | ALICE C. WATSON |
| Credential | M.D. |
| Practice Address |
44000 W 12 Mile Rd Ste 103 Novi MI 48377 |
| Mailing Address |
44000 W 12 Mile Rd Ste 103 Novi MI 48377-2646 |
| Practice Telephone | 2489464787 |
| Practice Fax Number | 2487165956 |
| Mailing Telephone | 2489464787 |
| Mailing Fax Number | 2483082450 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301072406 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS-CHAMPUS | AW072406 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | AW072406 | 01 | |
| BCBS PIN | 0932592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528407194 | Alice Watson | Home Health Aide | 130 Big Shot Ln, Gaston, SC 29053-8216 | 2013-06-17 |
| 1538487392 | Alice J Watson | Dermatology | 221 Longwood Ave, Brigham and Women's Dermatology Associates, Boston, MA 02115-5804 | 2010-05-04 |
| Street Address |
44000 W 12 MILE RD STE 103 |
| City | NOVI |
| State | MI |
| Zip Code | 48377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639270432 | Lisa Ann Barron | Specialist | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377-2646 | 2006-09-26 |
| 1245751007 | Novi Dermatology Pllc | Dermatology | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| 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 |
|---|---|---|---|---|
| 1174960082 | Molly Powers | Dermatology | 39450 W 12 Mile Rd Ste 2f, Novi, MI 48377-3600 | 2013-05-31 |
| 1578665527 | Mark Harbeck | Dermatology | 26850 Providence Pkwy Ste 535, Novi, MI 48374-1268 | 2006-09-01 |
| 1851932479 | Viba Malaiyandi | Dermatology | 25500 Meadowbrook Rd, Novi, MI 48375-1878 | 2019-10-04 |
| 1245751007 | Novi Dermatology Pllc | Dermatology | 44000 W 12 Mile Rd Ste 103, Novi, MI 48377 | 2017-07-03 |
| 1225218076 | Michael R Cohen, Do, Pllc | Dermatology | 39475 Lewis Dr, Suite 150, Novi, MI 48377-2981 | 2007-11-09 |
| 1477525616 | Stephen W. Sturman Md PC | Dermatology | 44000 W 12 Mile Rd, Suite 210, Novi, MI 48377 | 2006-02-02 |
| 1902877210 | Stephen W Sturman | Dermatology | 44000 W 12 Mile Rd, Suite 210, Novi, MI 48377 | 2006-01-27 |
| 1154392389 | Jolanta E Malinowski | Dermatology | 44000 W 12 Mile Rd, Suite 210, Novi, MI 48377 | 2006-01-27 |
| 1568458115 | Michael Randy Cohen | Dermatology | 39475 Lewis Dr, Suite 150, Novi, MI 48377-2981 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595616 | Diamond Dermatology, Pllc. | Dermatology | 3206 N Main St, Royal Oak, MI 48073-3424 | 2020-07-16 |
| 1477179174 | Alicia Scopis | Dermatology | 50505 Schoenherr Rd Ste 325, Shelby Township, MI 48315-3142 | 2020-06-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.