Active NPI
Jennifer Nash, MD Dermatology Associates of Midland, PLC
Doing business as Dermatology Associates of Midland, PLC
- Dermatology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- JENNIFER NASH, MD DERMATOLOGY ASSOCIATES OF MIDLAND, PLC
- Doing business as
- Dermatology Associates of Midland, PLC
- Practice address
- 2711 W Wackerly St
Midland, MI 48640-6922 - Phone
- (989) 837-6868
- NPI assigned
- Jan 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nash, MD
- Title
- Physician
- Phone
- (989) 750-2641
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2711 W Wackerly St
Midland, MI 48640-6922
Mailing address
2711 W Wackerly St
Midland, MI 48640-6922
Other names 1
- Dermatology Associates of Midland, PLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2024850 | Nash Dermatology | Provider-performed microscopy | May 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
2711 W Wackerly St
Midland, MI 48640
Phone (989) 837-6868
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Dermatology Physician
- Midland, MI
- NPI 1194844324
-
- Dermatology Physician
- Midland, MI
- NPI 1568751931
-
- Physician Assistant
- Midland, MI
- NPI 1932139367
-
- Physician Assistant
- Midland, MI
- NPI 1902635840
-
- Dermatology Physician
- Midland, MI
- NPI 1114308962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1629586268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406922",
"fax_number": "989-837-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 W WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406922",
"telephone_number": "989-837-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER NASH, MD DERMATOLOGY ASSOCIATES OF MIDLAND, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-17",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "NASH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "989-750-2641",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatology Associates of Midland, PLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.