Individual provider Active NPI

Ann Ammond Lafond, M.D.

  • Dermatology Physician
  • Canton, MI
National Provider Identifier
1295704815
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AL043764 Issued in MI
Practice address
8584 N Canton Center Rd
Canton, MI 48187-1310
Phone
(734) 455-4917
NPI assigned
Mar 16, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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 AL043764 MI Primary

Addresses

Primary practice location

8584 N Canton Center Rd
Canton, MI 48187-1310

Mailing address

8584 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 455-4917

Other identifiers 5

IdentifierTypeStateIssuer
C2791OtherMIMCARE
4139614OtherMIAETNA
102494OtherMICARE CHOICES
3899973001OtherMICIGNA
64889BOtherMIHEALTH ALLIANCE PLAN

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
I20080717000175 MI Practitioner - Dermatology 3779656228 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL043764MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Canton, PLLC Dermatology CurrentSince Dec 1, 2015 Accepting new patients
S L Husain Hamzavi MD PC Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Dermatology & Phototherapy Center of Brighton, PLC Dermatology CurrentSince May 1, 2021 Accepting new patients
Iha Health Services Corporation CurrentSince Jun 1, 2015 Accepting new patients
Iha Health Service Corporation CurrentSince Jun 1, 2015 Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 180
Brighton, MI 48114
Phone (810) 227-3232

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

361 N Canton Center Rd
Canton, MI 48187
Phone (734) 495-1506

8584 N Canton Center Rd
Canton, MI 48187
Phone (734) 455-3933

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

43151 Dalcoma Dr
Clinton Twp, MI 48038

43151 Dalcoma Dr
Ste 1
Clinton Twp, MI 48038
Phone 5862868720308

43151 Dalcoma Dr
Ste 6
Clinton Twp, MI 48038

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5325 Elliott Dr
Ste 203
Ypsilanti, MI 48197
Phone (734) 712-8020

5333 McAuley Dr
Rm 5003
Ypsilanti, MI 48197
Phone (734) 712-3376

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1295704815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-455-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8584 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-455-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFOND",
        "first_name": "ANN",
        "middle_name": "AMMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "AL043764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C2791",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4139614",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "102494",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3899973001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "64889B",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.