Davide Iacobelli (NPI# 1992783872, PAC ID# 4688573223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1992783872 |
| PAC ID by PECOS | 4688573223 |
| Professional Enrollment ID | I20040112000444 |
| Full Name | Davide Iacobelli |
| Organization Legal Name | DERMATOLOGY AND SKIN SURGERY CENTER |
| Address |
16510 19 Mile Rd Clinton Twp MI 48038-1106 |
| Phone Number | 5862637200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1979 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2668467838 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7070 E Dr N, Battle Creek, MI 49014-8562 | 2696601670 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 30795 23 Mile Rd, Suite 207, Chesterfield, MI 48047-5721 | 5862637200 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 | 5862637200 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 16540 19 Mile Rd, Clinton Twp, MI 48038-1106 | 5862637200 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 2121 Spring Arbor Rd, Jackson, MI 49203-2707 | 5177875350 | DERMATOLOGY AND SKIN SURGERY CENTER |
| Organization Legal Name | DERMATOLOGY AND SKIN SURGERY CENTER |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey M Nyland | Physician Assistant | Dermatology and Skin Surgery Center | 2121 Spring Arbor Rd, Jackson, MI 49203-2707 |
| Katherine E Wasek | Physician Assistant | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Caleb D Lee | Internal Medicine | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| John Joe Pomann Iii | Dermatology | Dermatology and Skin Surgery Center | 16540 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Mark A Kuriata | Dermatology | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Amber Joy Corneillie | Physician Assistant | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| Walter G Korytowsky | Dermatology | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Diana C Parks | Nurse Practitioner | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Hilary L Beyerlein | Physician Assistant | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Johanna Elaine Killian | Physician Assistant | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Street Address |
16510 19 MILE RD |
| City | CLINTON TWP |
| State | MI |
| Zip | 48038-1106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine E Wasek | Physician Assistant | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Mary Beth Anderson | Pathology | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Fiorino M Digregorio | Dermatology | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Linda T Morrison | Nurse Practitioner | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Kelly Ann Holmes | Physician Assistant | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TWP |
| Zip Code | 48038 |
| Specialty | DERMATOLOGY |
| City + Specialty | CLINTON TWP + DERMATOLOGY |
Please comment or provide details below to improve the information on Davide Iacobelli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.