Active NPI
Michael Sanford Frank, M.D.
- Procedural Dermatology Physician
- Sterling HTS, MI
National Provider Identifier
1891799334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- MF036576
- Practice address
- 39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597 - Phone
- (586) 979-1750
- Fax
- (586) 979-4667
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MF036576 | MI | |
| Procedural Dermatology Physician | 207NS0135X | MF036576 | MI | Primary |
Addresses
Primary practice location
39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597
Mailing address
39242 Dequindre
Suite 105
Sterling HTS, MI 48310-3597
Phone (586) 979-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101707514 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF036576 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Dermatologists, P.C. | Specialist | Current | Accepting new patients |
Locations
39242 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 446-8060
39242 Dequindre Rd
Ste 105
Sterling Hts, MI 48310
Phone (586) 979-1750
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.
-
- Specialist
- Sterling Heights, MI
- NPI 1982722047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1891799334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39242 DEQUINDRE",
"address_2": "SUITE 105",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483103597",
"telephone_number": "586-979-1750",
"fax_number": "586-979-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39242 DEQUINDRE",
"address_2": "SUITE 105",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483103597",
"telephone_number": "586-979-1750",
"fax_number": "586-979-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "MICHAEL",
"middle_name": "SANFORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "MF036576",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MI",
"license": "MF036576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101707514",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling HTS, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.