Dermatology Associates of Northern Michigan, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DERMATOLOGY ASSOCIATES OF NORTHERN MICHIGAN, P.C.

Practice address

4170 Cedar Bluff Drive
Petoskey, MI 49770

Phone

(231) 487-2230

Fax

(231) 487-6172

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Murray A Cotter II, M.D.

Title

President

Phone

(231) 487-2230

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Charles R Green, PA-C

  • Physician Assistant
  • Petoskey, MI
  • NPI 1962574285
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811069222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DRIVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DRIVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF NORTHERN MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "MURRAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-487-2230",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "070B410100",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "OM75570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Denbesten, MD
• Kendra Denholm, LM, CPM
• Dennis E McGeath
• Arthur T Denton, DDS
• Debra Lin Denton, O.D.
• Jacy Deschermeier
• Katherine Deveneau, MSOTR/L
• Geraldine L Deyoung, RN
• John L Diedrich, M.D.
• Sydney Elizabeth Dillinger-Mewbourn

• Specialist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.