Oakland Hills Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101016099 Issued in MI

Legal business name

OAKLAND HILLS DERMATOLOGY PC

Practice address

3400 Auburn Rd Ste 100
Auburn Hills, MI 48326-3396

Phone

(248) 858-2255

Fax

(248) 499-7436

NPI assigned

Feb 15, 2013

Reactivated

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Christofer N Buatti, DONPI 1306872288

Title

President / Owner

Phone

(248) 756-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christofer Natale Buatti, D.O.

  • Dermatology Physician
  • Auburn Hills, MI
  • NPI 1306872288
  Medicare reassignment Authorized official
• Samantha Safaya, PA

  • Physician Assistant
  • Auburn Hills, MI
  • NPI 1043946981
  Medicare reassignment
• Autumn-Marie L Green, P.A.-C.

  • Physician Assistant
  • Arlington Heights, IL
  • NPI 1851648448

  MI

  Medicare reassignment
• Kailey Schultz

  • Nurse Practitioner
  • Auburn Hills, MI
  • NPI 1902780570
  NPD
• Julia M Zimmerman, P.A.-C

  • Physician Assistant
  • Auburn Hills, MI
  • NPI 1235399205
  NPD

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1619217478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 AUBURN RD STE 100",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263396",
            "telephone_number": "482-858-2255",
            "fax_number": "248-499-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 AUBURN RD STE 100",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263396",
            "telephone_number": "248-858-2255",
            "fax_number": "248-499-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND HILLS DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2023-08-30",
        "certification_date": "2023-01-16",
        "deactivation_date": "2023-08-22",
        "reactivation_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BUATTI",
        "authorized_official_first_name": "CHRISTOFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "248-756-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101016099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Nowak, LMSW
• Brenda Sue O'Brien, LPC
• Sharon Marie O'Bryan, M.A., LLP
• Oakland County Community Mental Health Authority
• Oakland County Community Mental Health Authority
• Oakland Integrated Healthcare Network
• Oakland Lung & Sleep Specialists PLLC
• Oakland Psychological Center, PLLC
• Oakland Urgent Care, PLLC
• Occupational Health Centers of Michigan P.C.

• 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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.