Mid-Michigan Dermatology, PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

MID-MICHIGAN DERMATOLOGY, PLLC

Practice address

416 S Creyts Rd
Lansing, MI 48917-8290

Phone

(517) 886-0333

NPI assigned

Oct 24, 2006

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Hatch, D.O.NPI 1447289285

Title

President

Phone

(517) 886-0333

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark E Hatch, D.O.

  • Dermatology Physician
  • Lansing, MI
  • NPI 1447289285
  Authorized official Same address or phone
• J Charles Elliott, PA

  • Medical Physician Assistant
  • Lansing, MI
  • NPI 1841299617
  NPD (past)
• Alma Leyla Dehdashti, D.O.

  • Dermatology Physician
  • Mission Hills, CA
  • NPI 1558542753
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1093899510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-886-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178290",
            "telephone_number": "517-886-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MICHIGAN DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-886-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Michigan Hearing
• Mid Michigan Internal Medicine PC
• Mid Michigan Neurology Consultants PC
• Mid Michigan Ophthalmology PC
• Mid- Michigan Dental Sleep Center
• Mid-Michigan MRI, Inc.
• Mid-Michigan Oncology Radiation Associates
• Mid-Michigan Oncology Radiation Associates PC
• Mid-Michigan Pain Center PLLC
• Mid-Michigan Physicians, PC

• Procedural Dermatology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Procedural Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.