DR. PATRICK ANTHONY WEGMAN I (NPI# 1962426205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962426205 |
| Entity Type | Individual |
| Full Name | DR. PATRICK ANTHONY WEGMAN I |
| Credential | MD |
| Practice Address |
802 W King St Ste H Owosso MI 48867-2100 |
| Mailing Address |
911 W King St Owosso MI 48867-2121 |
| Practice Telephone | 9897238281 |
| Practice Fax Number | 9897236846 |
| Mailing Telephone | 9897252702 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301046310 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1510770 | 05 | |
| MI | HEALTH PLUS | 0700832 | 01 |
| MI | PHYSICIANS HEALTH PLAN | 03 00389 | 01 |
| MI | MCLAREN MEDICAID | 07036 | 01 |
| MI | RAILROAD MEDICARE | 070000811 | 01 |
| MI | BLUE CROSS | 0781022 | 01 |
| Street Address |
802 W KING ST STE H |
| City | OWOSSO |
| State | MI |
| Zip Code | 48867-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093908 | Sabrina Hughes | Technician | 1350 E M 21 Ste 304, Owosso, MI 48867 | 2019-03-20 |
| 1124521869 | Karry Lynn Wilson | Occupational Therapist | 275 Caledonia Drive, Owosso, MI 48867 | 2018-03-08 |
| 1740782051 | Holly Krystine Taylor | Occupational Therapy Assistant | 275 Caledonia Dr, Owosso, MI 48867 | 2018-03-02 |
| 1255833703 | Misty Sue Yerrick | Occupational Therapy Assistant | 275 Caladonia Dr, Owosso, MI 48867 | 2018-03-01 |
| 1699276212 | Chantel Marie Ferrio | Physical Medicine & Rehabilitation | 275 Caldonia Drive, Owosso, MI 48867 | 2018-02-28 |
| 1083127880 | The Arc Shiawassee County Inc | Respite Care | 1905 West M-21, Owosso, MI 48867 | 2017-11-15 |
| 1609317486 | Moses Prempeh | Pharmacist | 1002 E Main St, Owosso, MI 48867 | 2017-03-14 |
| 1083065312 | Lauren Quinlan | Behavioral Analyst | 912 S Washington St, Owosso, MI 48867 | 2016-06-28 |
| 1952790990 | Ashley Nemeth | Occupational Therapy Assistant | 3130 W Brewer Rd, Owosso, MI 48867 | 2015-01-14 |
| 1538432174 | Marc W. Perry | Counselor | 120 W. Exchange Street, Suite 300, Catholic Charities, Owosso, MI 48867 | 2012-02-13 |
| Find all providers in zip 48867 | ||||
| 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 |
|---|---|---|---|---|
| 1104857796 | Justin John Marone | Dermatology | 1457 North M-52, Owosso, MI 48864 | 2006-07-05 |
| 1235323676 | Justin J Marone PC | Dermatology | 1457 N M 52, Owosso, MI 48867-1234 | 2007-08-29 |
| 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 |
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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.