Metropolitan Dermatology Center, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301032495 Issued in MI

Legal business name

METROPOLITAN DERMATOLOGY CENTER, P.C.

Practice address

38865 Dequindre Rd
Suite 104
Troy, MI 48083-6812

Phone

(248) 743-9330

Fax

(248) 743-9332

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

George P Malick, M.D.

Title

Physician

Phone

(248) 743-9330

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Farah Katherine Malick, M.D.

  • Dermatology Physician
  • Troy, MI
  • NPI 1891819801
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1962675207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-743-9330",
            "fax_number": "248-743-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38865 DEQUINDRE RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836812",
            "telephone_number": "248-743-9330",
            "fax_number": "248-743-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DERMATOLOGY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "MALICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-743-9330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301032495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0705022692",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Home Medical Equip;Inc
• Metro Medical Practice PC
• Metro Medical Practice PC
• Metrocare Visiting Physicians PLLC
• Metroplex Transportation, LLC
• Laura Marie Metz, FNP-C
• Reinier Meyreles
• Richard Ramsey Mezy, DDS
• Mi MC Sprout 1 LLC
• Mi Physicians PLLC

• Specialist in Troy, MI
• Providers in Troy, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.