Uptown Dermatologists of Birmingham, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301092800 Issued in MI

Legal business name

UPTOWN DERMATOLOGISTS OF BIRMINGHAM, PLLC

Practice address

35046 Woodward Ave
Suite L14
Birmingham, MI 48009-0964

Phone

(248) 225-6791

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Borkin

Title

Owner/Partner

Phone

(248) 225-6791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1184098675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 CHESAPEAKE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674526",
            "telephone_number": "248-225-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35046 WOODWARD AVE",
            "address_2": "SUITE L14",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090964",
            "telephone_number": "248-225-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DERMATOLOGISTS OF BIRMINGHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BORKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "248-225-6791",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301092800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aldona M. Valivonis, PH.D.
• Aubrey Valleau, LCSW
• Benedict Vanderkolk, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.