Individual provider Active NPI

Arthur W Gulick, M.D.

  • Dermatology Physician
  • Plymouth, MI
National Provider Identifier
1730148065
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
035213 Issued in MI
Practice address
221 N Sheldon Rd
Plymouth, MI 48170-1524
Phone
(734) 459-3930
Fax
(734) 459-0749
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 035213 MI Primary

Addresses

Primary practice location

221 N Sheldon Rd
Plymouth, MI 48170-1524

Mailing address

221 N Sheldon Rd
Plymouth, MI 48170-1524
Phone (734) 459-3930

Other identifiers 1

IdentifierTypeStateIssuer
2103802MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000123 MI Practitioner - Dermatology 3375739311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of Canton PLLCGroup PAC ID 6507923976, 18 clinicians

Practice addresses (Care Compare)

361 N Canton Ctr Rd
Canton, MI 48187
Phone (734) 495-1506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions225
Removal or shaving of skin growth1-10
Skin biopsy61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035213MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Canton, PLLC Dermatology CurrentSince Mar 1, 2022 Accepting new patients

Locations

361 N Canton Center Rd
Canton, MI 48187
Phone (734) 495-1506

5958 N Canton Center Rd
Ste 700
Canton, MI 48187
Phone (734) 254-9500

285 N Lilley Rd
Canton, MI 48187
Phone (734) 495-1506

43151 Dalcoma Dr
Ste 6
Clinton Twp, MI 48038

43151 Dalcoma Dr
Ste 1
Clinton Twp, MI 48038
Phone 5862868720308

Interoperability endpoints

  • Direct secure messaging: agulick@dschd.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1730148065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "734-459-3930",
            "fax_number": "734-459-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701524",
            "telephone_number": "734-459-3930",
            "fax_number": "734-459-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "ARTHUR",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "035213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103802",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.