MARK L. NELSON, MD, PHD, PC (NPI# 1720259435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720259435 |
| Entity Type | Organization |
| Organization Name | MARK L. NELSON, MD, PHD, PC |
| Other Organization Name | AAA AMERICAN DERMATOLOGY ASSOCIATES |
| Practice Address |
60 W Big Beaver Rd Bloomfield Hills MI 48304-3909 |
| Practice Telephone | 2485409100 |
| Practice Fax Number | 2485401223 |
| Mailing Telephone | 2485409100 |
| Mailing Fax Number | 2485401223 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2009-08-24 |
| Authorized Official Name | MARK LEE NELSON (PRESIDENT) |
| Authorized Official Telephone | 2485409100 |
| Authorized Official Credential | MD PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301045147 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 070002264 | 01 |
| MI | BCBS MI | 0706336300 | 01 |
| MI | BCBSM TYPE 11 | 0F34680 | 01 |
| Other Name | Type Code |
|---|---|
| AAA American Dermatology Associates | Other Name - Individual/Organization |
| Street Address |
60 W BIG BEAVER RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979778 | Vidal D Borromeo | Internal Medicine | 60 W Big Beaver Rd, Ste. 130, Bloomfield Hills, MI 48304-3909 | 2005-08-16 |
| 1699168336 | Cranbrook Physical Therapy, Pllc | Physical Therapist | 60 W Big Beaver Rd, Suite 125, Bloomfield Hills, MI 48304-3909 | 2015-03-05 |
| 1427468404 | Birmingham Bloomfield Center for Assessment, Pllc | Community/Behavioral Health | 60 W Big Beaver Rd, Ste 130, Bloomfield Hills, MI 48304-3909 | 2014-04-30 |
| 1508286006 | Esra Karaca | Clinical Neuropsychologist | 60 W Big Beaver Rd, Suite 130, Bloomfield Hills, MI 48304-3909 | 2014-04-23 |
| 1174730873 | Elizabeth Chomic | Physical Therapist | 60 W Big Beaver Rd, Suite 125, Bloomfield Hills, MI 48304-3909 | 2007-05-16 |
| 1780899039 | Anne Tafelski | Physical Therapist | 60 W Big Beaver Rd, Suite 125, Bloomfield Hills, MI 48304-3909 | 2007-05-11 |
| 1477678472 | Sue Ann Parisi | Dentist | 60 W Big Beaver Rd, Suite 140, Bloomfield Hills, MI 48304-3909 | 2007-03-20 |
| 1235199027 | Mark L Nelson | Dermatology | 60 W Big Beaver Rd, Ste 120, Bloomfield Hills, MI 48304 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| 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 |
|---|---|---|---|---|
| 1902299662 | Richard Elton | Dermatology | 29 Kingsley Manor Ct, Bloomfield Hills, MI 48304-2813 | 2015-03-05 |
| 1720112436 | Jay Victor | Dermatology | 1261 Club Dr, Bloomfield Hills, MI 48302-0907 | 2007-03-15 |
| 1265517635 | Fred Mark Novice | Dermatology | 4120 West Maple Road, Suite 206, Bloomfield Hills, MI 48301 | 2006-10-26 |
| 1386610152 | Linda Chung Honet | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2006-02-23 |
| 1790784056 | Lynn Marie Sikorski | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2005-07-19 |
| 1043602923 | Linda C Honet, Md Dermatology PC | Dermatology | 36800 Woodward Avenue, Suite 110, Bloomfield Hills, MI 48304-0916 | 2015-03-02 |
| 1144460833 | Darius J Karimipour, M.d., P.C. | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2009-02-20 |
| 1982855110 | Michelle Sue Legacy | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302 | 2008-10-07 |
| 1891815536 | Lynn M. Sikorski, D.o., P.C. | Dermatology | 1900 S Telegraph Rd, Suite 100, Bloomfield Hills, MI 48302-0238 | 2007-03-29 |
| 1275620171 | Darius James Karimipour | Dermatology | 43700 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5058 | 2006-10-10 |
| Find all providers in BLOOMFIELD HILLS | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
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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.