ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY – NPI #1861430779
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY is a dermatologist located in TRAVERSE CITY, MI. NPPES has assigned the NPI number 1861430779 to ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY on June 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY” is a dba name, the actual legal business name for this organization is ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 19 years ago on Oct 25, 2007. 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 ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY below.

NPI Profile for
ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC

NPI Number
1861430779
Enumeration Date

(more than 20 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
ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY PC
Doing Business As (dba): ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY
Primary location
3643 W FRONT ST
TRAVERSE CITY, MI 49684-7759
Phone: (231) 935-0625 Fax: (231) 935-0626
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOAN GRINER
PRESIDENT
Phone: (231) 935-0625
Updated
Identifiers

Identifiers for ASSOCIATES IN DERMATOLOGY OF TRAVERSE CITY

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
OTHERRAILROAD MEDICAREMIDF3512
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
207ND0900X
- Dermatology / Dermatopathology (Primary)
MI JG058054

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.