Dermatology Specialists of Ann Arbor, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY SPECIALISTS OF ANN ARBOR, PLLC

Practice address

4200 Whitehall Dr Ste 250
Ann Arbor, MI 48105-9694

Phone

(734) 677-3376

Fax

(734) 572-3229

NPI assigned

Jun 28, 2022

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Vanhall

Title

Sr. Project Manager

Phone

(586) 876-2345

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 17

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.

• Daniel William Cole, MD

  • Dermatology Physician
  • Dexter, MI
  • NPI 1326677279

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sakeena Fatima, M.D.

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1205332384
  Medicare reassignment Care Compare group NPD
• Colton Funkhouser, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1407481898
  Medicare reassignment Care Compare group NPD
• Iltefat H Hamzavi, MD

  • Procedural Dermatology Physician
  • Canton, MI
  • NPI 1538117866
  Medicare reassignment Care Compare group NPD
• Shivani Patel, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1235405820
  Medicare reassignment Care Compare group NPD
• Joan Marie Rindler, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1407841349
  Medicare reassignment Care Compare group NPD
• Ethan Abraham Sagher, MD

  • Dermatology Physician
  • Clinton Township, MI
  • NPI 1912436106
  Medicare reassignment Care Compare group NPD
• Jennifer Vermeesch

  • Dermatology Physician
  • Lansing, MI
  • NPI 1861818676
  Medicare reassignment Care Compare group NPD
• Ashley Ann Katic, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1841841673
  Medicare reassignment Care Compare group
• Sherren M White, PA-C

  • Physician Assistant
  • Lansing, MI
  • NPI 1710910641
  Medicare reassignment Care Compare group
• Hany Deirawan, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bismarck, ND
  • NPI 1366804569

  Dermatology, MI

  Medicare reassignment NPD
• Jordan Talia, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1811341233

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1689306680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-876-2345",
            "fax_number": "866-790-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WHITEHALL DR STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059694",
            "telephone_number": "734-677-3376",
            "fax_number": "734-572-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF ANN ARBOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-08-09",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "VANHALL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SR. PROJECT MANAGER",
        "authorized_official_telephone_number": "586-876-2345"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joyce Depauw, R.D.
• Jill Marie Depestel, NURSE PRACTIONER
• Warren S Deppong, PHARMD
• Alana Deriggi, LMSW
• Andrew J Dering, MD
• Jacqueline Frances Deron, P.T., M.S.
• Nicole L Derrick, PA-C
• Elisa Jane Derrig, CRNA
• Adam T Derubeis, PA-C
• Robyn Lyn Deruyver, CRNA

• Dermatology Physician in Ann Arbor, MI
• Providers in Ann Arbor, 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 9, 2022; 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.