NPIMap

Organization Active NPI

Skin Care Physicians PC

Doing business as Beacon Skin & Surgeries - Macomb

  • Dermatology Physician
  • Macomb, MI
National Provider Identifier
1174496814
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN CARE PHYSICIANS PC
Doing business as
Beacon Skin & Surgeries - Macomb
Practice address
46591 Romeo Plank Rd Ste 205a
Macomb, MI 48044-5705
Phone
(586) 368-3600
Fax
(248) 852-1900
NPI assigned
Sep 29, 2025
Organization subpart
Yes
Parent organization
SKIN CARE PHYSICIANS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Sara Abro
Title
Practice Manager
Phone
(248) 852-1900

Specialties & licenses 1

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

Addresses

Primary practice location

46591 Romeo Plank Rd Ste 205a
Macomb, MI 48044-5705

Mailing address

6632 Telegraph Rd
Box 348
Bloomfield Hills, MI 48301-3012
Phone (586) 368-3600

Other names 1

  • Beacon Skin & Surgeries - Macomb Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2335011Beacon Skin and Surgeries46591 Romeo Plank Road Suite 205a, Macomb, MI 48044Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Skin Care Physicians PC4 organizations share this tax ID, including this one
Part of
Skin Care Physicians PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46591 Romeo Plank Rd
Ste 205A
Macomb, MI 48044
Phone (586) 368-3600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1174496814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 TELEGRAPH RD",
            "address_2": "BOX 348",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013012",
            "telephone_number": "586-368-3600",
            "fax_number": "248-852-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46591 ROMEO PLANK RD STE 205A",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445705",
            "telephone_number": "586-368-3600",
            "fax_number": "248-852-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE PHYSICIANS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKIN CARE PHYSICIANS PC",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "ABRO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-852-1900"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Skin & Surgeries - Macomb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.