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

Last updated

Nov 6, 2007By 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. Eva L Youshock, MDNPI 1760417679

Title

President

Phone

(248) 650-1510

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Eva L Youshock, MD

  • Dermatology Physician
  • Rochester Hills, MI
  • NPI 1760417679
  Authorized official Same address or phone

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.