Skincare Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

JU063597 Issued in MI

Legal business name

SKINCARE ASSOCIATES PC

Practice address

315 Stewart Rd
Monroe, MI 48162-4393

Phone

(734) 457-4400

Fax

(734) 242-8017

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James Martin Ulery Jr., M.D.NPI 1043313919

Title

Owner

Phone

(734) 457-4400

Specialties & licenses 1

Addresses

Other identifiers 4

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 1

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

• James Martin Ulery Jr., M.D.

  • Dermatology Physician
  • Monroe, MI
  • NPI 1043313919
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1720133580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-457-4400",
            "fax_number": "734-242-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 STEWART RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624393",
            "telephone_number": "734-457-4400",
            "fax_number": "734-242-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINCARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "ULERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-457-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "JU063597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM NEW",
            "identifier": "070E811880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OE81006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070013988",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "CL2256",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhtasham Ahmad Sifaat, DO
• Kristi Ann Simmons, ATC, MS PA-C
• Andrew Skibski
• Ryan Elise Skidmore
• Skin Cancer Treatment Center of Michigan
• Jenna Marie Slater
• Sleep Monroe Health PLLC
• Anna Sliwinski Kertesz
• Sarah Jane Slovik, M.S.
• Smart Hearing Inc

• Specialist in Monroe, MI
• Providers in Monroe, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.