NPIMap

Organization Active NPI

SVC Dermatology PC

Doing business as Skin and Vein Center

  • Dermatology Physician
  • Fenton, MI
National Provider Identifier
1174565600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SVC DERMATOLOGY PC
Doing business as
Skin and Vein Center
Practice address
305 N Leroy St
Fenton, MI 48430-2729
Phone
(810) 629-0336
Fax
(810) 629-7251
NPI assigned
Jun 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

305 N Leroy St
Fenton, MI 48430-2729

Mailing address

305 N Leroy St
Fenton, MI 48430-2729
Phone (810) 629-0336

Other practice location 1

44056 Mound Rd Ste 101
Sterling Heights, MI 48314-1357
Phone (586) 314-1400

Other practice location 2

10984 Middlebelt Rd
Livonia, MI 48150-3058
Phone (734) 762-0798

Other names 1

  • SKIN AND VEIN CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000649 MI Part B Supplier - Clinic/Group Practice 6800806050 Receives reassigned benefits from 7 practitioners
Practice locations: Livonia, MI; Sterling Heights, MI; Fenton, MI

National Provider Directory

National Provider Directory

Locations

305 N Leroy St
Fenton, MI 48430
Phone (810) 629-0336

32669 Warren Rd
Ste 9
Garden City, MI 48135
Phone (734) 762-0798

44056 Mound Rd
Ste 101
Sterling Heights, MI 48314
Phone (586) 314-1400

2999 E Big Beaver Rd
Troy, MI 48083
Phone (248) 689-0000

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • 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.