Neldagae S Chisa (NPI# 1841274032, PAC ID# 8123092160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1841274032 |
| PAC ID by PECOS | 8123092160 |
| Professional Enrollment ID | I20040826000227 |
| Full Name | Neldagae S Chisa |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Address |
36700 Woodward Ave Suite 203 Bloomfield Hills MI 48304-0930 |
| Phone Number | 2486475750 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1955 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941511224 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 36700 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304-0930 | 2486475750 | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan D Sofen | Dermatology | Advanced Dermatology of Michigan PC | 16826 Newburgh Rd, Livonia, MI 48154-1600 |
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Michelle K Bruner | Dermatology | Advanced Dermatology of Michigan PC | 1500 Eureka Rd, Wyanodtte, MI 48192-6103 |
| James J Simons Jr. | Dermatology | Advanced Dermatology of Michigan PC | 999 6th St, Traverse City, MI 49684-2301 |
| Anna J Mccaughna | Nurse Practitioner | Advanced Dermatology of Michigan PC | 3254 E Midland Rd, Bay Shores, Bay City, MI 48706-2835 |
| Brian H Gelb | Emergency Medicine | Advanced Dermatology of Michigan PC | 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 |
| Mary R Stoll | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Therese A Birkam-jade | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Jennifer A Meitzner | Nurse Practitioner | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Ashley Marie Aldridge | Physician Assistant | Advanced Dermatology of Michigan PC | 26400 W 12 Mile Rd, Suite 150, Southfield, MI 48034-1771 |
| Street Address |
36700 WOODWARD AVE SUITE 203 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip | 48304-0930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn A Alaimo | Psychologist, Clinical | 36400 Woodward Ave, Suite 228, Bloomfield Hills, MI 48304-0914 | |
| Linda Cecilia Honet | Dermatology | 36800 Woodward Ave, 110 Honet Dermatology/ Honet Cosmetic, Bloomfield Hills, MI 48304-0916 | |
| Kenzie Ann Gardner | Nurse Practitioner | Linda C Honet, Md Dermatology PC | 36800 Woodward Ave, 110 Honet Dermatology/ Honet Cosmetic, Bloomfield Hills, MI 48304-0916 |
| Neil G King | Physical Therapy | Neil King Physical Therapy, PC | 36880 Woodward Ave, Suite 102, Bloomfield Hills, MI 48304-0920 |
| Daniel Paul Ormsby | Physical Therapy | Neil King Physical Therapy, PC | 36880 Woodward Ave, Suite 102, Bloomfield Hills, MI 48304-0920 |
| Margaret O Brunhofer | Psychologist, Clinical | 36880 Woodward Ave, Suite 205, Bloomfield Hills, MI 48304-0921 | |
| Michael S Meininger | Plastic and Reconstructive Surgery | 36880 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304-0921 | |
| Joyce R Schomer | Psychologist, Clinical | 36880 Woodward Ave, Suite 205, Bloomfield Hills, MI 48304-0921 | |
| Susan I Leitman | Psychologist, Clinical | 36880 Woodward Ave, Suite 205, Bloomfield Hills, MI 48304-0921 | |
| Evan M Woolford | Physical Therapy | Team Rehabilitation Sma, LLC | 37000 Woodward Ave, Suite 300, Bloomfield Hills, MI 48304-0939 |
| Find all physicians in zip 48304 | |||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
| Specialty | DERMATOLOGY |
| City + Specialty | BLOOMFIELD HILLS + DERMATOLOGY |
Please comment or provide details below to improve the information on Neldagae S Chisa.
| 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.