NPIMap

Organization Active NPI

Ronald D Kerwin MD PC

  • Dermatology Physician
  • West Bloomfield, MI
National Provider Identifier
1992754485
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
RK044088 Issued in MI
Legal business name
RONALD D KERWIN MD PC
Practice address
6330 Orchard Lake Rd
#120
West Bloomfield, MI 48322-2398
Phone
(248) 855-3366
Fax
(248) 855-6213
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Ronald Kerwin
Title
President
Phone
(248) 855-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X RK044088 MI Primary

Addresses

Primary practice location

6330 Orchard Lake Rd
#120
West Bloomfield, MI 48322-2398

Mailing address

6330 Orchard Lake Rd
#120
West Bloomfield, MI 48322-2398
Phone (248) 855-3366

Other identifiers 1

IdentifierTypeStateIssuer
OF37225OtherBC

Other names 1

  • Associated Dermatologists of West Bloomfield Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1992754485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD",
            "address_2": "#120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-855-3366",
            "fax_number": "248-855-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 ORCHARD LAKE RD",
            "address_2": "#120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222398",
            "telephone_number": "248-855-3366",
            "fax_number": "248-855-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D KERWIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-855-3366"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "RK044088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "OF37225",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dermatologists of West Bloomfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.