Ferrara Dermatology Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301057129 Issued in MI

Legal business name

FERRARA DERMATOLOGY CLINIC PC

Practice address

20045 Mack Ave
Grosse Pointe Woods, MI 48236-2322

Phone

(313) 884-5100

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard John Ferrara Jr, M.D.

Title

Owner

Phone

(313) 884-5100

Specialties & licenses 1

Addresses

Other identifiers 1

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 3

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

• Katherine Lynn Caretti, M.D.

  • Dermatology Physician
  • Grosse Pointe Woods, MI
  • NPI 1376825174
  Medicare reassignment Care Compare group NPD
• Richard John Ferrara Jr., MD

  • Dermatology Physician
  • Grosse Pointe Woods, MI
  • NPI 1568467371
  Medicare reassignment Care Compare group NPD
• John Robert Sobotka, PA-C

  • Physician Assistant
  • Grosse Pointe Woods, MI
  • NPI 1154412161
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629169578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20045 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322",
            "telephone_number": "313-884-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRARA DERMATOLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRARA JR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-884-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301057129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2774745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Fairfax
• Mohamad Fakih, MD
• Jeffrey Scott Falk, MD
• Maria Feldpausch, OTR/L
• Mya Hope Fells
• Richard John Ferrara Jr., MD
• Fikry F Ibrahim MD PC
• Natalia Filipof
• Anna Lyn Finazzo
• Richard Sherman Fine, MD

• Specialist in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Specialist 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.
• 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.