Carter Snell Skin Center PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CARTER SNELL SKIN CENTER PLC

Practice address

72 Erskine Street
Detroit, MI 48201-2702

Phone

(313) 338-8007

Fax

(313) 833-7851

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Brittany D Carter-Snell, DONPI 1952613168

Title

Owner

Phone

(313) 833-5032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Brittany Dawn Carter-Snell, DO

  • Dermatology Physician
  • Detroit, MI
  • NPI 1952613168
  Medicare reassignment NPD Authorized official
• Latonya Millben, PA-C

  • Physician Assistant
  • Detroit, MI
  • NPI 1730208547
  Medicare reassignment
• Alicia Marie Jones, NURSE PRACTITIONER

  • Dermatology Physician
  • Detroit, MI
  • NPI 1699465682
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1740731462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 WOODWARD AVE",
            "address_2": "4727 SAINT ANTOINE STREET; SUITE 211",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012724",
            "telephone_number": "313-833-5032",
            "fax_number": "313-833-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ERSKINE STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012702",
            "telephone_number": "313-338-8007",
            "fax_number": "313-833-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER SNELL SKIN CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "CARTER-SNELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-833-5032",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeshell Joye Carson, PA
• Richard Carson
• Sheryl Carson
• Tanyia Carson, RN
• Mia Carswell, LLMSW
• Fallon Carter-Johnson I
• Norma Carter-Jones, RN
• Brittany Dawn Carter-Snell, DO
• Antonette Carter III
• Cherilyn Elaine Carter, BSW/LSW MA/LPC

• Dermatology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.