Dermatology Specialists of Rochester Hills

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS

Practice address

361 N Canton Center Rd
Canton, MI 48187-5096

Phone

(734) 495-1506

Fax

(734) 495-1780

NPI assigned

Jul 18, 2022

Last updated

Mar 4, 2024By 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

Kim Vanhall

Title

Sr. Project Manager

Phone

(586) 286-8720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• S L Husain Hamzavi MD PC

  dba Hamzavi Dermatology

  • Dermatology Physician
  • Clinton TWP, MI
  • NPI 1407943962

  Member Of

  NPD member

Locations

Practitioners 6

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.

• Judy Helen Fontana, M.D.

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1780848259
  Medicare reassignment Care Compare group NPD
• Maria K Yaldo, M.D.

  • Dermatology Physician
  • Taylor, MI
  • NPI 1154701712
  Medicare reassignment Care Compare group NPD
• Lindsay Boll

  • Physician Assistant
  • Rochester Hills, MI
  • NPI 1912452863
  Medicare reassignment Care Compare group
• Ali A Berry, MD

  • Dermatology Physician
  • Canton, MI
  • NPI 1427009729
  Medicare reassignment NPD
• Elizabeth Anne White, PA-C

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1699223982
  Medicare reassignment
• Fasahat Husain Hamzavi, MD

  • MOHS-Micrographic Surgery Physician
  • Clinton TWP, MI
  • NPI 1295780989
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1114652831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720",
            "fax_number": "586-649-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875096",
            "telephone_number": "734-495-1506",
            "fax_number": "734-495-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Rochdale Dr S",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483092276",
            "country_code": "US",
            "telephone_number": "248-608-0360",
            "fax_number": "248-608-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF ROCHESTER HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "VANHALL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SR. PROJECT MANAGER",
        "authorized_official_telephone_number": "586-286-8720"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Denwiddie
• Dependable Healthcare Services, Inc. (Dependable Healthcare Services)
• Dependable Healthcare Services,Inc
• Tina Marie Dequin, LLMSW
• Dermatology Specialists of Canton, PLLC
• Dhwani Desai
• Natalie Jeanne Desautel
• Vibhawari Deshpande, DPT
• Amanda Noelle Despart, MD
• Detroit Medical Center

• Dermatology Physician in Canton, MI
• Providers in Canton, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.