Ogawa Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301029328 Issued in MI

Legal business name

OGAWA DERMATOLOGY, P.C.

Practice address

2251 N Squirrel Rd
Suite 200
Auburn Hills, MI 48326-4600

Phone

(248) 340-9465

Fax

(248) 340-9746

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Catherine McConnell Ogawa, M.D.

Title

Physician/Owner

Phone

(248) 340-9465

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1346356615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-340-9465",
            "fax_number": "248-340-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-340-9465",
            "fax_number": "248-340-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGAWA DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "OGAWA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MCCONNELL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "248-340-9465",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301029328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0634515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.