Active NPI
Consultants in Dermatology, PLLC
- Dermatology Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CONSULTANTS IN DERMATOLOGY, PLLC
- Practice address
- 20234 Farmington Rd
Livonia, MI 48152-1412 - Phone
- (248) 474-8440
- Fax
- (248) 474-5714
- NPI assigned
- Oct 18, 2006
- Last updated
- Sep 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew J Mitchell, MD
- Title
- Member
- Phone
- (248) 474-8453
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
20234 Farmington Rd
Livonia, MI 48152-1412
Mailing address
20234 Farmington Rd
Livonia, MI 48152-1412
Phone (248) 474-8440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0367922 | Consultants in Dermatology, PLLC | Provider-performed microscopy | Aug 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
20234 Farmington Rd
Livonia, MI 48152
Phone (248) 474-8440
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Dermatology Physician
- Livonia, MI
- NPI 1508978073
-
- Physician Assistant
- Warren, MI
- NPI 1396071361
-
- Dermatology Physician
- Livonia, MI
- NPI 1790705044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1891876538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20234 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521412",
"telephone_number": "248-474-8440",
"fax_number": "248-474-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20234 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521412",
"telephone_number": "248-474-8440",
"fax_number": "248-474-5714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANTS IN DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "248-474-8453",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.