SVC Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SVC DERMATOLOGY PC

Practice address

305 N Leroy St
Fenton, MI 48430-2729

Phone

(810) 629-0336

Fax

(810) 629-7251

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Eric Scott Seiger, DONPI 1912904772

Title

Owner

Phone

(810) 629-0336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SKIN AND VEIN CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 15

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

• Eric Scott Seiger, DO

  • Dermatology Physician
  • Fenton, MI
  • NPI 1912904772
  Medicare reassignment Care Compare group NPD Authorized official
• Deena Hakim, NP

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1184449522
  Medicare reassignment Care Compare group NPD
• Blayne David Baggett

  • Physician Assistant
  • Fenton, MI
  • NPI 1114382637
  Medicare reassignment Care Compare group
• Lisa A. Brown, PAC

  • Surgical Physician Assistant
  • Bay City, MI
  • NPI 1962552273
  Medicare reassignment Care Compare group
• Rachel A Snabes, PA-C

  • Physician Assistant
  • Livonia, MI
  • NPI 1285366583
  Medicare reassignment Care Compare group
• Sandy Robert Goldman, D.O.

  • Dermatology Physician
  • Weston, FL
  • NPI 1902803760

  MI

  Medicare reassignment NPD
• Kristen J Fitzpatrick, PA-C

  • Physician Assistant
  • Garden City, MI
  • NPI 1487844239
  Medicare reassignment
• Scott Friedman, D.O.

  • Dermatology Physician
  • Riverview, MI
  • NPI 1154485811
  NPD (past)
• David Kraus, D.O.

  • Emergency Medicine Physician
  • Monroe, MI
  • NPI 1407834708
  NPD (past)
• Wendy L McFalda, D.O.

  • Dermatology Physician
  • Clarkston, MI
  • NPI 1528152196
  NPD (past)
• Nicole Marie McKenna, PA-C

  • Medical Physician Assistant
  • Lapeer, MI
  • NPI 1790848695
  NPD (past)
• John Robert Sobotka, PA-C

  • Physician Assistant
  • Grosse Pointe Woods, MI
  • NPI 1154412161
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174565600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302729",
            "telephone_number": "810-629-0336",
            "fax_number": "810-629-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N LEROY ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302729",
            "telephone_number": "810-629-0336",
            "fax_number": "810-629-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44056 Mound Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141357",
            "country_code": "US",
            "telephone_number": "586-314-1400",
            "fax_number": "586-314-1406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10984 Middlebelt Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503058",
            "country_code": "US",
            "telephone_number": "734-762-0798",
            "fax_number": "734-762-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SVC DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "SEIGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-629-0336",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MICHIGAN",
            "identifier": "0B514150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKIN AND VEIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKIN AND VEIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Anne Stiff, LPTA
• Brian E Stone, DC
• Richard Preston Stork, D.C.
• Patrick Joseph Stover, M.D., M.P.H.
• Paige Christian Sutton, CF-SLP
• Jamie Sweet, LMT
• Synthesis Medical Specialties, P.C.
• Sunhee Szynkowski, PT
• Debra Tacconi
• Mary Michelle Tallman, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.