Individual provider Active NPI

Paige Norwick

  • Dermatology Physician
  • Southfield, MI
National Provider Identifier
1891355046
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4351045491 Issued in MI
Practice address
26400 W 12 Mile Rd Ste 150
Southfield, MI 48034-1771
Phone
(248) 353-0818
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4351045491 MI Primary

Addresses

Primary practice location

26400 W 12 Mile Rd Ste 150
Southfield, MI 48034-1771

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-3376

Other practice location 1

16826 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 464-8400

Other practice location 2

13717 23 Mile Rd
Shelby Twp, MI 48315-2907
Phone (586) 580-9417

Other practice location 3

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

Other practice location 4

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810000551 MI Practitioner - Dermatology 5092040311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Central Michigan College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

13717 23 Mile Rd
Shelby Township, MI 48315-2907
Phone (586) 580-9417

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions299
Removal or shaving of skin growth1-10
Skin biopsy118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince Sep 17, 2023 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

42505 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 353-0818

16826 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-8400

4170 Cedar Bluff Dr
Petoskey, MI 49770

13717 23 Mile Rd
Shelby Township, MI 48315
Phone (586) 580-9417

26400 W 12 Mile Rd
Ste 150
Southfield, MI 48034
Phone (248) 353-0818

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

1500 Eureka Rd
Wyandotte, MI 48192
Phone (734) 282-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1891355046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 150",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341771",
            "telephone_number": "248-353-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16826 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-464-8400",
            "fax_number": "734-464-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13717 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483152907",
            "country_code": "US",
            "telephone_number": "586-580-9417",
            "fax_number": "586-884-8274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13450 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480883671",
            "country_code": "US",
            "telephone_number": "586-759-5525",
            "fax_number": "586-759-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "481926103",
            "country_code": "US",
            "telephone_number": "734-282-2500",
            "fax_number": "734-282-6397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORWICK",
        "first_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4351045491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.