NPIMap

Organization Active NPI

Saginaw Psoriasis & Skin Center

  • Dermatology Physician
  • Saginaw, MI
National Provider Identifier
1932137932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101010926 Issued in MI
Legal business name
SAGINAW PSORIASIS & SKIN CENTER
Practice address
3630 Shattuck Rd
Suite 1
Saginaw, MI 48603-7004
Phone
(989) 790-5894
Fax
(989) 790-7443
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Joseph Kemerer, D.O.NPI 1386696599
Title
Owner/Physician
Phone
(989) 790-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 5101010926 MI Primary

Addresses

Primary practice location

3630 Shattuck Rd
Suite 1
Saginaw, MI 48603-7004

Mailing address

3630 Shattuck Rd
Suite 1
Saginaw, MI 48603-7004
Phone (989) 790-5894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932137932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SHATTUCK RD",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037004",
            "telephone_number": "989-790-5894",
            "fax_number": "989-790-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SHATTUCK RD",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037004",
            "telephone_number": "989-790-5894",
            "fax_number": "989-790-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW PSORIASIS & SKIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEMERER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "989-790-5894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101010926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.