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NPI · 1396745055 · NPPES-sourced

Psoriasis And Eczema Treatment Center Of Western Michigan PLLC

ActiveDermatology
NPI Number
1396745055
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(616) 459-8209
Primary practice line
Last Updated
Enumerated
Primary practice addressMI · 49503-3523
833 Michigan St Ne, Suite 102Grand Rapids, MI 49503-3523
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About this NPIWhat this record shows.

NPI 1396745055 is registered to Psoriasis And Eczema Treatment Center Of Western Michigan PLLC, a healthcare organisation classified as "Dermatology" and located at 833 Michigan St Ne, Suite 102 in Grand Rapids, Michigan. The organisation's authorised official is Marek Stawiski. The organisation has been enumerated in the NPI registry since 2005.

Provider type
Organisation (Type 2)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 690 Dermatology providers on file in Michigan.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

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 Psoriasis And Eczema Treatment Center Of Western Michigan PLLC accepts. To confirm in-network status with your specific health plan, contact Psoriasis And Eczema Treatment Center Of Western Michigan PLLC directly at (616) 459-8209.

Frequently asked

Yes. NPI 1396745055 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 (616) 459-8209.

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. Psoriasis And Eczema Treatment Center Of Western Michigan PLLC is a Type-2 organisational NPI.

As of the latest monthly CMS NPPES snapshot, 690 Dermatology providers are registered in Michigan, and Psoriasis And Eczema Treatment Center Of Western Michigan PLLC is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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