WEST MICHIGAN DERMATOLOGY – NPI #1609896034
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.
WEST MICHIGAN DERMATOLOGY is a dermatologist located in GRANDVILLE, MI. NPPES has assigned the NPI number 1609896034 to WEST MICHIGAN DERMATOLOGY on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WEST MICHIGAN DERMATOLOGY” is a dba name, the actual legal business name for this organization is JACK A DEKKINGA MD PC. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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 last updated on Jul 31, 2024. 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 WEST MICHIGAN DERMATOLOGY below.
NPI Profile for
JACK A DEKKINGA MD PC
(about 20 years ago)
GRANDVILLE, MI 49418-3076 Phone: (616) 257-3344 Fax: (616) 257-1491
2 Other location(s):
Holland, MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
Rockford, MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
PRESIDENT
Phone: (616) 257-3344
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Identifiers for WEST MICHIGAN DERMATOLOGY
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBS OF MICHIGAN | MI | 070D16223 |
| other | MEDICARE RAILROAD GROUP | NV | CI2832 |
| other | MEDICARE GROUP NUMBER | MI | 0N86210 |
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) |
||
| 174400000X - Specialist |
MI | 4301039679 |
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.