LENISE A. BANSE, M.D.,P.C. – NPI #1811041890
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.

LENISE A. BANSE, M.D.,P.C. is a dermatologist located in CILNTON TOWNSHIP, MI. NPPES has assigned the NPI number 1811041890 to LENISE A. BANSE, M.D.,P.C. on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LENISE A. BANSE, M.D.,P.C. is also known by the name NORTHEAST FAMILY DERMATOLOGY CENTER. 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 previously updated about 16 years ago on Jun 25, 2010. 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 LENISE A. BANSE, M.D.,P.C. below.

NPI Profile for
LENISE A. BANSE, M.D.,P.C.

NPI Number
1811041890
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
LENISE A. BANSE, M.D.,P.C.
Other Name: NORTHEAST FAMILY DERMATOLOGY CENTER
Primary location
42452 HAYES RD
SUITE 3
CILNTON TOWNSHIP, MI 48038-6771
Phone: (586) 263-3130 Fax: (586) 263-5183
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LENISE BANSE
OWNER
Phone: (586) 263-3130
Updated
Identifiers

Identifiers for LENISE A. BANSE, M.D.,P.C.

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMI4037111
OTHERBCBS OF MICHIGANMA0500688
OTHERBLUE CROSS BLUE SHIELD OF MICHIGANMI0705006881
OTHERCARE CHOICESMI101151
OTHERGREAT LAKES HEALTH PLANMI155665
OTHERHEALTH ALLIANCE PLANMI80862B
OTHERHUMANAMA131180573496
OTHERHUMANAMI131180573496
OTHERMCAREMIDR500262
OTHERMEDICARE PLUS BLUEMI0500688001
OTHERPREFERRED CHOICESMA101151
OTHERPRIORITY HEALTHMI900013288
OTHERTRICAREMIMO22874
MEDICAIDMI2806900
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 4301047653
207NS0135X
- Dermatology / Procedural Dermatology
MI 4301047653
207NP0225X
- Dermatology / Pediatric Dermatology
MI 4301047653

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.