Michael Mahon D O PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101006141 Issued in MI

Legal business name

MICHAEL MAHON D O PC

Practice address

21141 Middlebelt Rd
Farmington Hills, MI 48336-5516

Phone

(248) 477-7022

Fax

(248) 477-9370

NPI assigned

Apr 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael J Mahon, DONPI 1013904549

Title

Physician/Owner

Phone

(248) 477-7022

Specialties & licenses 1

Addresses

Other names 1

• Middlebelt Dermatology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Mahon, D.O.

  • Dermatology Physician
  • Farmington Hills, MI
  • NPI 1013904549
  Medicare reassignment NPD Authorized official
• Helen Maria D'Sa, D.O,

  • Dermatology Physician
  • Sterling Heights, MI
  • NPI 1346374618
  Medicare reassignment
• Marian Ibrahim, M.D.

  • Dermatology Physician
  • Lutz, FL
  • NPI 1548571821

  MI

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1013183052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21141 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365516",
            "telephone_number": "248-477-7022",
            "fax_number": "248-477-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365516",
            "telephone_number": "248-477-7022",
            "fax_number": "248-477-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MAHON D O PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-477-7022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101006141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlebelt Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mias Home Care LLC
• Esther Mibaleo
• Michael Czarnota, PH.D., P.L.L.C.
• Michael D Rebock DO PLC
• Michael H. Eidelman M.D. P.C.
• Jamie Michael
• Jennifer Michael
• Nancy Michael
• Samantha Michael
• Mara Elaine Michaels-Campos

• Dermatology Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.