S JEAN KEGLER (NPI# 1669419750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669419750 |
| Entity Type | Individual |
| Full Name | S JEAN KEGLER |
| Credential | MD |
| Practice Address |
50 E Canfield St Detroit MI 48201-1804 |
| Mailing Address |
3800 Woodward Ave Suite 702 Detroit MI 48201-2061 |
| Practice Telephone | 3135779704 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301039032 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
50 E CANFIELD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328746 | Neelima Thati | Internal Medicine | 50 E Canfield St, General Medicine Ambulatory Practice, Detroit, MI 48201-1804 | 2006-05-31 |
| 1598321184 | Razan Alhaddad | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-20 |
| 1669037495 | Joseph Sebastian | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-07 |
| 1548825599 | Pierre Yves Palo Jr. | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-06 |
| 1730744665 | Shoshana Rothstein | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-06 |
| 1376108647 | Parminder Virdi | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-02 |
| 1760046171 | Saritha Kadari | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-01 |
| 1053976423 | Hamza Tahir | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-01 |
| 1356906754 | Marcus Sepnafski | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-05-01 |
| 1740844497 | Ishita Datta | Student in an Organized Health Care Education/Training Program | 50 E Canfield St, Detroit, MI 48201-1804 | 2019-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| 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 |
| 1467406439 | Karen Ann Heidelberg | Dermatology | 20400 Livernois Ave, Detroit, MI 48221-1348 | 2006-05-22 |
| 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 |
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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.