Center for Cosmetic Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR COSMETIC DERMATOLOGY, PC

Practice address

800 S. Adams Road
Suite 210
Birmingham, MI 48009

Phone

(248) 593-6236

Fax

(248) 593-6246

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell S Shek, MD

Title

President

Phone

(248) 593-6236

Specialties & licenses 1

Addresses

Other names 1

• Laser Hair Removal and Aesthetics Former legal business name

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1154563757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. ADAMS ROAD",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-593-6236",
            "fax_number": "248-593-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. ADAMS ROAD",
            "address_2": "SUITE 210",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-593-6236",
            "fax_number": "248-593-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COSMETIC DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SHEK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-593-6236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Hair Removal and Aesthetics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emily Carlson, MT-BC
• Carolyn S Way DDS PC
• Diane M Cartwright, LMSW
• Erin Kathleen Cassady, RD
• Debra J Cavender, R.D.
• Center for Dental Cosmetics PLLC
• Carol Anne Chambers, PH.D.
• Charles Montgomery Boyd MD PLLC
• Rita Majeda Cherro, D.O.
• Kaylee Chin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.