West Bloomfield Dermatology and Mohs Surgery, PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WEST BLOOMFIELD DERMATOLOGY AND MOHS SURGERY, PLC

Practice address

5839 W Maple Rd Ste 109
West Bloomfield, MI 48322-2278

Phone

(248) 855-7500

NPI assigned

Oct 8, 2020

Last updated

Apr 13, 2026By 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

Linda Peterlin

Title

Practice Manager

Phone

(248) 855-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 7

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.

• Sook Hwang

  • Dermatology Physician
  • West Bloomfield, MI
  • NPI 1962897181
  Medicare reassignment Care Compare group NPD
• Tarana Marie Mohammadi, M.D.

  • Dermatology Physician
  • West Bloomfield, MI
  • NPI 1093155921
  Medicare reassignment Care Compare group NPD
• Lindsay Rachel Sklar, MD

  • MOHS-Micrographic Surgery Physician
  • West Bloomfield, MI
  • NPI 1962843631

  Dermatology

  Medicare reassignment Care Compare group NPD
• Daniel Patrick Tomlinson, NP

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1255722104
  Medicare reassignment Care Compare group NPD
• Nadine Maya Shabeeb, MD

  • Dermatology Physician
  • Madison, WI
  • NPI 1669903076

  MI

  Medicare reassignment Care Compare group NPD
• Kathryn Grace Michels, M.D.

  • Dermatology Physician
  • Brighton, MI
  • NPI 1275067084
  NPD
• Kay Elizabeth Watnick, MD

  • Dermatology Physician
  • West Bloomfield, MI
  • NPI 1639123680
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1841897238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 W MAPLE RD STE 109",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222278",
            "telephone_number": "248-855-7500",
            "fax_number": "248-855-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 W MAPLE RD STE 109",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222278",
            "telephone_number": "248-855-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5839 W Maple Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483222278",
            "country_code": "US",
            "telephone_number": "248-855-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5839 W Maple Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483222278",
            "country_code": "US",
            "telephone_number": "248-855-7500 x102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST BLOOMFIELD DERMATOLOGY AND MOHS SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "PETERLIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-855-7500"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstreet Urgent Care of Michigan (Corewell Health Urgent Care)
• Welltower Opco Group LLC (Sunrise of West Bloomfield)
• West Blommfield Dental and Associates PLLC
• West Bloomfield Center for Dentistry PC
• West Bloomfield Dentistry, PLLC
• West Bloomfield Health and Rehabilitation Center, LLC (West Bloomfield Health and Rehabilitation Center)
• West Bloomfield Internal Medicine PLLC
• West Bloomfield Market LLC (Plum Market Pharmacy)
• West Bloomfield Opco LLC (Medilodge of West Bloomfield)
• West Bloomfield Physical Therapy , Inc

• Dermatology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.