Tina Pickett Baisden MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

TP057574 Issued in MI

Legal business name

TINA PICKETT BAISDEN MD PLLC

Practice address

31500 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4367

Phone

(248) 433-3803

Fax

(248) 433-3452

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tina G Pickett Baisden, MD

Title

President

Phone

(248) 433-3803

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1518133404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250433",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480250433",
            "telephone_number": "248-433-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 TELEGRAPH RD",
            "address_2": "SUITE 130",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254367",
            "telephone_number": "248-433-3803",
            "fax_number": "248-433-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA PICKETT BAISDEN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "PICKETT BAISDEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-433-3803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "TP057574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0706359621",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070015591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Tikkanen
• Alexis Nicole Tillery, LMSW
• Kristy Tilson
• Hannah Tilton
• Timothy Schmakel PC
• Georgia Wynett Tindall
• Ilene Tinman
• Akash Sunil Tiwari
• Esha Anika Tiwari
• Kelly Toal

• Dermatology Physician in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.