Oakland Dermatology Associates

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

4301022545 Issued in MI

Legal business name

OAKLAND DERMATOLOGY ASSOCIATES

Doing business as

Neldagae S Chisa MD

Practice address

36700 Woodward Ave
Bloomfield Hills, MI 48304-0926

Phone

(248) 647-5750

Fax

(248) 647-6008

NPI assigned

Aug 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neldagae ChisaNPI 1841274032

Title

President Owner

Phone

(248) 647-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NELDAGAE S CHISA MD Doing business as

Locations

Practitioners 1

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.

• Neldagae S Chisa, M.D.

  • Dermatopathology Physician
  • Bloomfield Hills, MI
  • NPI 1841274032
  NPD (past) Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386655926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36700 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040926",
            "telephone_number": "248-647-5750",
            "fax_number": "248-647-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHISA",
        "authorized_official_first_name": "NELDAGAE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "248-647-5015"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MI",
            "license": "4301022545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NELDAGAE S CHISA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nuvera Mind PLLC (Mind)
• Clovis Nwagwu
• Barry O'Malley
• Ashlee Marie O'Shell, M.D.
• Oakland Bone & Joint Surgery P.C.
• Oakland Dermatology Associates PC
• Oakland Infectious Disease Associates PC
• Oakland Lifestyle Medicine-PLLC
• Oakland Medical Supplies, Inc (Oakland Medical Supplies)
• Oakland Physician Associates, P.C.

• Non-Pharmacy Dispensing Site in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Non-Pharmacy Dispensing Site in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.