North Oakland Dermatology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301049372 Issued in MI

Legal business name

NORTH OAKLAND DERMATOLOGY PC

Practice address

6700 N Rochester Rd
Suite 212
Rochester Hills, MI 48306-4362

Phone

(248) 650-1510

Fax

(248) 650-1526

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eva L Youshock, MD

Title

President

Phone

(248) 650-1510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1124159231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "SUITE 212",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362",
            "telephone_number": "248-650-1510",
            "fax_number": "248-650-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ROCHESTER RD",
            "address_2": "SUITE 212",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064362",
            "telephone_number": "248-650-1510",
            "fax_number": "248-650-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKLAND DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "YOUSHOCK",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-650-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301049372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.