Organization Active NPI

Edward S. Lerchin MD PC

  • Dermatology Physician
  • Shelby Township, MI
National Provider Identifier
1962625053
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301030015 Issued in MI
Legal business name
EDWARD S. LERCHIN MD PC
Practice address
45710 Schoenherr Rd
Suite #10
Shelby Township, MI 48315-6033
Phone
(586) 566-6770
Fax
(586) 566-6772
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Edward Stephen Lerchin, M.D.
Title
Physician
Phone
(586) 566-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 4301030015 MI Primary

Addresses

Primary practice location

45710 Schoenherr Rd
Suite #10
Shelby Township, MI 48315-6033

Mailing address

45710 Schoenherr Rd
Suite #10
Shelby Township, MI 48315-6033
Phone (586) 566-6770

National Provider Directory

National Provider Directory

Locations

45710 Schoenherr Rd
Ste 10
Shelby Twp, MI 48315
Phone (586) 566-6770

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1962625053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45710 SCHOENHERR RD",
            "address_2": "SUITE #10",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-6770",
            "fax_number": "586-566-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45710 SCHOENHERR RD",
            "address_2": "SUITE #10",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-6770",
            "fax_number": "586-566-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD S. LERCHIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LERCHIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-566-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301030015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.