Madeline Turner DO PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101011132 Issued in MI

Legal business name

MADELINE TURNER DO PC

Doing business as

Dermatology Center of Lake Orion

Practice address

1261 S Lapeer Rd
Suite 201
Lake Orion, MI 48360-1419

Phone

(248) 814-7546

Fax

(248) 814-8900

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Madeline Turner, D.O.NPI 1063447373

Title

President

Phone

(248) 814-7546

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dermatology Center of Lake Orion Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Madeline Turner, DO

  • Dermatology Physician
  • Lake Orion, MI
  • NPI 1063447373
  Medicare reassignment Care Compare group NPD Authorized official
• Audrey Vizzaccaro, P.A.-C.

  • Medical Physician Assistant
  • Lake Orion, MI
  • NPI 1982878609
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1780863498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S LAPEER RD",
            "address_2": "SUITE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601419",
            "telephone_number": "248-814-7546",
            "fax_number": "248-814-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S LAPEER RD",
            "address_2": "SUITE 201",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601419",
            "telephone_number": "248-814-7546",
            "fax_number": "248-814-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE TURNER DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-814-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101011132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182186",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0756300995",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Center of Lake Orion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lyon, CCC-SLP
• Susan Louise Lyons, FNP
• M Djamali MD PC
• Jennifer Marie Macdonald, M.S.ED, ATC, PT
• Katelyn Macfarlane, CNM
• Basma Makani, PHARMD
• Malgorzata Sobilo M D P C
• Matthew Mallmann, MOTR/L
• Racquel Malouf
• Suzana Marku, NP

• Dermatology Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.