Organization Active NPI

Lynn M. Sikorski, D.O., P.C.

  • Dermatology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1891815536
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101009963 Issued in MI
Legal business name
LYNN M. SIKORSKI, D.O., P.C.
Practice address
1900 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0238
Phone
(248) 338-6400
Fax
(248) 338-2920
NPI assigned
Mar 29, 2007
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Lynn Marie Sikorski, D.O.NPI 1790784056
Title
President
Phone
(248) 338-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 5101009963 MI Primary

Addresses

Primary practice location

1900 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0238

Mailing address

PO Box 82154
Rochester, MI 48308-2154
Phone (248) 338-6400

National Provider Directory

National Provider Directory

Locations

1900 S Telegraph Rd
Ste 10
Bloomfield Hills, MI 48302
Phone (248) 338-6400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1891815536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82154",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483082154",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020238",
            "telephone_number": "248-338-6400",
            "fax_number": "248-338-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN M. SIKORSKI, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "SIKORSKI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101009963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.