CLARKSTON DERMATOLOGY & VEIN CENTER PLLC – NPI #1003943408
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.

CLARKSTON DERMATOLOGY & VEIN CENTER PLLC is a dermatologist located in CLARKSTON, MI. NPPES has assigned the NPI number 1003943408 to CLARKSTON DERMATOLOGY & VEIN CENTER PLLC on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 11 years ago on Jun 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARKSTON DERMATOLOGY & VEIN CENTER PLLC below.

NPI Profile for
CLARKSTON DERMATOLOGY & VEIN CENTER PLLC

NPI Number
1003943408
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARKSTON DERMATOLOGY & VEIN CENTER PLLC
Primary location
5701 BOW POINTE DR
SUITE 215
CLARKSTON, MI 48346-3198
Phone: (248) 620-3376 Fax: (248) 620-3379
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WENDY MCFALDA
MEMBER
Phone: (248) 620-3376
Updated
Identifiers

Identifiers for CLARKSTON DERMATOLOGY & VEIN CENTER PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CARE NETWORKMI0756301335
OTHERBLUE CHOICEMI0756301335
OTHERMEDICARE PLUS BLUEMI0P14750
OTHERMEDICARE RAILROADMIDD8092
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
MI 5101014699

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.