Organization Active NPI

Steven K. Grekin, D.O., P.C.

  • Dermatology Physician
  • Warren, MI
National Provider Identifier
1164640371
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
010630 Issued in MI
Legal business name
STEVEN K. GREKIN, D.O., P.C.
Practice address
13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone
(586) 759-5525
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Steven Kenneth Grekin
Title
President
Phone
(586) 759-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 010630 MI Primary

Addresses

Primary practice location

13450 E 12 Mile Rd
Warren, MI 48088-3671

Mailing address

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

National Provider Directory

National Provider Directory

Locations

464 E Grand Blvd
Detroit, MI 48207
Phone (248) 593-1990

11940 Belsay Rd
Medilodge of Grand Blanc
Grand Blanc, MI 48439
Phone (810) 694-1970

520 W Main St
Northville, MI 48167
Phone (248) 349-1663

1725 Chester Rd
Royal Oak, MI 48073
Phone (248) 278-8937

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

26400 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 353-0818

26400 W 12 Mile Rd
Ste 150
Southfield, MI 48034
Phone (248) 353-0818

13450 E 12 Mile Rd
Ste 2
Warren, MI 48088

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1164640371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883671",
            "telephone_number": "586-759-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN K. GREKIN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "GREKIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-759-5525"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "010630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.