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

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.

Title

President

Phone

(517) 886-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN8644",
            "state": "MI"
        }
    ],
    "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.