Individual provider Active NPI

Elizabeth H Michels, MD

  • Dermatology Physician
  • Farmington Hills, MI
National Provider Identifier
1174514418
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301047633 Issued in MI
Practice address
32905 W 12 Mile Rd
Ste 330
Farmington Hills, MI 48334-3342
Phone
(248) 553-2900
Fax
(248) 553-7546
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301047633 MI Primary

Addresses

Primary practice location

32905 W 12 Mile Rd
Ste 330
Farmington Hills, MI 48334-3342

Mailing address

32905 W 12 Mile Rd
Ste 330
Farmington Hills, MI 48334-3342
Phone (248) 553-2900

Other identifiers 1

IdentifierTypeStateIssuer
1802792MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080119000033 MI Practitioner - Dermatology 7810078508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1174514418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "STE 330",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "248-553-2900",
            "fax_number": "248-553-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32905 W 12 MILE RD",
            "address_2": "STE 330",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343342",
            "telephone_number": "248-553-2900",
            "fax_number": "248-553-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301047633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802792",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.