Cosmetic Dermatology and Vein Centers of Downriver PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC

Practice address

17171 Fort St
Riverview, MI 48193

Phone

(734) 282-7266

Fax

(734) 282-0353

NPI assigned

Aug 17, 2006

Last updated

Dec 13, 2018By 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

Dr. Scott David Friedman, D.O. F.AO.C.D.NPI 1154485811

Title

President

Phone

(248) 690-7243

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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.

• Scott Friedman, D.O.

  • Dermatology Physician
  • Riverview, MI
  • NPI 1154485811
  Medicare reassignment NPD Authorized official
• Anthony Arlo Bennett, MD

  • Diagnostic Radiology Physician
  • Sylvan Lake, MI
  • NPI 1801866397
  Medicare reassignment NPD
• Lauren Law, DO

  • Dermatology Physician
  • Berkley, MI
  • NPI 1558712752
  Medicare reassignment NPD
• Summer Callahan

  • Family Nurse Practitioner
  • Lake Orion, MI
  • NPI 1700752128
  NPD
• Cathy Christine Robinson, FNP-BC

  • Family Nurse Practitioner
  • Brighton, MI
  • NPI 1396307500
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1750494282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772081",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772022",
            "telephone_number": "734-282-7266",
            "fax_number": "734-282-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 FORT ST",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "48193",
            "telephone_number": "734-282-7266",
            "fax_number": "734-282-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 N Lapeer Road",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "48362",
            "country_code": "US",
            "telephone_number": "248-690-7243",
            "fax_number": "248-690-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-690-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.  F.AO.C.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750494282",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Riverview (Riverview Fire Department)
• Clinexa LLC
• Luz Colbert
• Jodie Marie Cole, MSN, RN, AGCNS-BC
• Michael Joseph Concessi, D.C.
• Cousineau Chiropractic Life Center P.C.
• Kristin J Cousineau, DC
• Nicole R Cousineau, DC
• Felicia Patreece Covington, LPN
• Nora S Creighton, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.