Provider Type Icon

DERM INSTITUTE OF WEST MICHIGAN PLC NPI 1003460874


NPI Information

NPI: 1003460874
Provider Name: DERM INSTITUTE OF WEST MICHIGAN PLC

Doing Business As: DERM INSTITUTE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 23D2185277

Address:
1661 CRYSTAL SPRINGS BLVD SE
CALEDONIA, MI
ZIP 49316
Phone: (616) 326-0114
Get Directions

DERM INSTITUTE OF WEST MICHIGAN PLC is a dermatology in Caledonia, MI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DERM INSTITUTE OF WEST MICHIGAN PLC NPI is 1003460874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Derm Institute.

The provider's business location address is:

1661 CRYSTAL SPRINGS BLVD SE
CALEDONIA, MI
ZIP 49316-931
Phone: (616) 326-0114
Fax: (616) 369-3790

The provider's authorized official is Kristi Beth Hawley .
The authorized official title is Sole Mbr and has the following contact phone number (740) 606-7403.

The CLIA number assigned to this NPI record is 23D2185277 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.