GEORGETOWN DERMATOLOGISTS, P.C. (NPI# 1982722047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982722047 |
| Entity Type | Organization |
| Organization Name | GEORGETOWN DERMATOLOGISTS, P.C. |
| Other Organization Name | GEORGETOWN DERMATOLOGISTS, P.C. |
| Practice Address |
39242 Dequindre Rd Suite 105 Sterling Heights MI 48310-1764 |
| Practice Telephone | 5869791750 |
| Practice Fax Number | 5869794667 |
| Mailing Telephone | 5869791750 |
| Mailing Fax Number | 5869794667 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. MICHAEL SANFORD FRANK (PRESIDENT) |
| Authorized Official Telephone | 5869791750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSM GROUP PIN | 070E025000 | 01 |
| Other Name | Type Code |
|---|---|
| georgetown dermatologists, p.c. | Doing Business As Name - Organization |
| Street Address |
39242 DEQUINDRE RD SUITE 105 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927752 | Hikmat P. Gogue, Md. PC | Pediatrics | 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310-1764 | 2016-04-13 |
| 1629451398 | Michael David Singer | Anesthesiology | 39242 Dequindre Rd, Suite 104, Sterling Heights, MI 48310-1764 | 2015-06-30 |
| 1750728515 | Rana Gogue | Physician Assistant | 39242 Dequindre Rd, Sterling Heights, MI 48310-1764 | 2013-06-03 |
| 1104172212 | Paul Luke Gogue | Pediatrics | 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310-1764 | 2012-07-25 |
| 1649487984 | Christopher John Remishofsky | Dermatology | 39242 Dequindre Rd, Suite 105, Sterling Heights, MI 48310-1764 | 2007-05-17 |
| 1821066697 | Hikmat P Gogue | Pediatrics | 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310-1764 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114305356 | Remsleep | Specialist | 42724 Flis Dr, Sterling Heights, MI 48314-2849 | 2015-05-07 |
| 1841632478 | Tahsinur Rashid Choudhury | Specialist | 35601 Marina Dr, Sterling Heights, MI 48312-4142 | 2013-07-24 |
| 1740553700 | An Lap Ly | Specialist | 33162 Dequindre Rd, Sterling Heights, MI 48310-5915 | 2012-02-21 |
| 1114196417 | Besma Yako Mikhail | Specialist | 3755 E. 15 Mile Road, Sterling Heights, MI 48310 | 2008-02-21 |
| 1477687556 | Colleen P Resio | Specialist | 5399 Kreger St, Sterling Heights, MI 48310-5731 | 2007-03-14 |
| 1013046028 | Valerie Lynn Yaros I | Specialist | 4633 Corriander Dr, Sterling Heights, MI 48314-4044 | 2007-03-05 |
| 1497880298 | Mary Elizabeth Nagy | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2007-02-22 |
| 1053859165 | Nicole Studebaker | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2017-02-09 |
| 1407309016 | Shannon Lambert | Specialist | 35514 Indigo Dr, Sterling Heights, MI 48310-4946 | 2016-07-31 |
| 1972849842 | Jacob Kalo, M.d., P.C. | Specialist | 11474 15 Mile Rd, Sterling Heights, MI 48312-3810 | 2012-12-21 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
Please comment or provide details below to improve the information on GEORGETOWN DERMATOLOGISTS, P.C..
| 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.