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NPI · 1104090794 · NPPES-sourced

Blue Skies Dermatology

ActiveDermatology
NPI Number
1104090794
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(586) 296-1301
License MI · 012868
Last Updated
About 18 years ago (Apr 2008)
Enumerated 2008-04-15
Primary practice addressMI · 48081-1331
29167 Jefferson Ave, Suite BSaint Clair Shores, MI 48081-1331
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About this NPIWhat this record shows.

NPI 1104090794 is registered to Blue Skies Dermatology, a healthcare organisation classified as "Dermatology" and located at 29167 Jefferson Ave, Suite B in Saint Clair Shores, Michigan. The organisation's authorised official is Colene Calo. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2008-04-15
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Blue Skies Dermatology accepts. To confirm in-network status with your specific health plan, contact Blue Skies Dermatology directly at (586) 296-1301.

Frequently asked

Yes. NPI 1104090794 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (586) 296-1301.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Blue Skies Dermatology is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated2008-04
Enumerated2008-04-15
StatusActive
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partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Dermatology providers in Michigan.

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