Midwest Dermatology Institute PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

MIDWEST DERMATOLOGY INSTITUTE PLLC

Practice address

3480 Capital Ave SW
Battle Creek, MI 49015-9354

Phone

(269) 224-6554

Fax

(269) 224-6537

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Jeffrey Messenger, MDNPI 1427313709

Title

President

Phone

(269) 224-6554

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 8

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

• Jeffrey Alan Messenger, M.D.

  • Dermatology Physician
  • Battle Creek, MI
  • NPI 1427313709
  Medicare reassignment Care Compare group NPD Authorized official
• Cristy J Burghardt, PA-C

  • Medical Physician Assistant
  • Portage, MI
  • NPI 1407281108
  Medicare reassignment Care Compare group NPD
• Jacqueline J James, PA-C

  • Medical Physician Assistant
  • Battle Creek, MI
  • NPI 1609069566
  Medicare reassignment Care Compare group NPD
• Maren Bahra, PA

  • Physician Assistant
  • Battle Creek, MI
  • NPI 1730646696
  Medicare reassignment Care Compare group
• Stacey Olivier, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1427126523
  Medicare reassignment Care Compare group
• Allison Marie Wheeler, PA

  • Physician Assistant
  • Okemos, MI
  • NPI 1639955412
  Medicare reassignment Care Compare group
• Jennifer M Williford, P.A.-C.

  • Medical Physician Assistant
  • Battle Creek, MI
  • NPI 1508875477
  Medicare reassignment Care Compare group
• Stephanie Quist, PA-C

  • Physician Assistant
  • Rockford, MI
  • NPI 1104394717
  Medicare reassignment

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1649977935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159354",
            "telephone_number": "269-224-6554",
            "fax_number": "269-224-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159354",
            "telephone_number": "269-224-6554",
            "fax_number": "269-224-6537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 University Park Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488646912",
            "country_code": "US",
            "telephone_number": "269-224-6554",
            "fax_number": "269-224-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST DERMATOLOGY INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MESSENGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-224-6554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MI16892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Radiation Oncology, PC
• Michigan Senior Care Living, LLC
• Penny Delynne-Rosenbrook Mickel
• Carl Wesley Middlebush, PHD
• James Harry Middleton, RPH
• Florence Burkhardt Mikle, M.D.
• Britny Alexis Mikulla
• Janet Miles, MSW
• Milestone Pain and Rehabilitation,PC
• Brittney Marie Miller, OTR/L

• MOHS-Micrographic Surgery Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• MOHS-Micrographic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.