Derminc, PLLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

LH044277 Issued in MI

Legal business name

DERMINC, PLLC

Practice address

1 William Carls Dr
Regional Specialty Center
Commerce Township, MI 48382-2201

Phone

(248) 937-3419

Fax

(248) 937-5148

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By 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. Linda Higgenbotham, MD

Title

President

Phone

(248) 931-2773

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Mark L Nelson, MD

  • Dermatology Physician
  • Bloomfield Hills, MI
  • NPI 1235199027
  NPD (past)
• Linda Higginbotham, MD

  • Dermatology Physician
  • South Bend, IN
  • NPI 1134189053
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1750568747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DRIVE",
            "address_2": "REGIONAL SPECIALTY CENTER",
            "city": "COMMERCE",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-937-3419",
            "fax_number": "248-937-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DR",
            "address_2": "REGIONAL SPECIALTY CENTER",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822201",
            "telephone_number": "248-937-3419",
            "fax_number": "248-937-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMINC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "HIGGENBOTHAM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-931-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "LH044277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Rosa De la O
• Debra Vanort, DO
• Olivia Decker, MD
• Lana Deford, RN
• Delight Health Services LLC
• Laura Michelle Derrick, FNP-C
• Detroit Institute for Children (The Abilities Center)
• Detroit Institute for Children
• Detroit Medical Center
• Detroit Medical Center

• Procedural Dermatology Physician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Procedural Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.