DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
NPI 1659624591
Dermatology in Brighton, MI
NPI Status: Active since October 16, 2012
Contact Information
2305 GENOA BUSINESS PARK DR
BRIGHTON, MI
ZIP 48114
Phone: (810) 355-4300
Fax: (586) 286-8723
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 23D2077425
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-11-2026
About DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
This page provides the complete NPI Profile along with additional information for Dermatology & Phototherapy Center Of Brighton, Plc, a provider established in Brighton, Michigan operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1659624591 assigned on October 2012. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Iltefat Hamzavi M.d. (Member)
- NPI
- 1659624591
- Provider Name
- DERMATOLOGY & PHOTOTHERAPY CENTER OF BRIGHTON, PLC
- Entity Type
- Organization
- Location Address
- 2305 GENOA BUSINESS PARK DR BRIGHTON, MI 48114
- Location Phone
- (810) 355-4300
- Location Fax
- (586) 286-8723
- Mailing Address
- 43151 DALCOMA DR CLINTON TOWNSHIP, MI 48038
- Mailing Phone
- (586) 286-8720
- Mailing Fax
- (586) 286-8723
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2012
- Last Update Date
- 04-18-2013
- Code Navigator
A dermatologist like Dermatology & Phototherapy Center Of Brighton, Plc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D2077425
- Facility Type
- Physician Office
- Certificate Effective Date
- December 12, 2024
- Certificate Expiration Date
- December 11, 2026
- Laboratory Director
- MATTEO C. LOPICCOLO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dermatology & Phototherapy Center Of Brighton, Plc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 6 | 2 | 4 | 5 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 12 | 2 | 8 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 2 + 2 + 8 + 5 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1659624591 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164491726 | DR. MARY KHUNGER M.D. Individual | Pediatrics | 2305 GENOA BUSINESS PARK DR SUITE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1558320853 | MR. JAY WILLIAM PETERSON PA-C Individual | Physician Assistant | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1700898525 | ALBERTO NACIF M.D. Individual | Family Medicine | 2305 GENOA BUSINESS PARK DR SUITE 200 BRIGHTON, MI 48114 (810) 494-6840 |
| 1720135239 | IHA HEALTH SERVICES CORPORATION Organization | Pediatrics | 2305 GENOA BUSINESS PARK DR SUITE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1275686099 | MELANIE KLENK CNP Individual | Nurse Practitioner (Pediatrics) | 2305 GENOA BUSINESS PARK DR STE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1316085772 | RICHARD L. NEAL PA-C Individual | Physician Assistant | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 494-6200 |
| 1558537944 | FRANK JOSEPH CALANDRINO MPT Individual | Physical Therapist | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1912165291 | GAGO CENTER FOR FERTILITY, PLLC Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 2305 GENOA BUSINESS PARK DR SUITE 180 BRIGHTON, MI 48114 (810) 227-3232 |
| 1750541488 | MR. MICHAEL JOSEPH PETERS PA-C Individual | Physician Assistant | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1689812323 | MRS. AMANDA MICHELLE VETERE PA-C Individual | Physician Assistant | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1831329697 | IHA OF ANN ARBOR PC Organization | Radiologic Technologist (Sonography) | 2305 GENOA BUSINESS PARK DR SUITE 250 BRIGHTON, MI 48114 (434) 434-0539 |
| 1053625467 | ADVANCED ORTHOPEDIC SPECIALISTS PC Organization | Non-Pharmacy Dispensing Site | 2305 GENOA BUSINESS PARK DR STE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1558611046 | MRS. JULIANA HAGELE PA-C Individual | Physician Assistant | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8554 |
| 1659314870 | DR. DAVID M CHERNIN M. D. Individual | Internal Medicine | 2305 GENOA BUSINESS PARK DR SUITE 120 BRIGHTON, MI 48114 (810) 494-6800 |
| 1710225412 | KRISTEN ELIZABETH UPTON CPNP Individual | Nurse Practitioner (Pediatrics) | 2305 GENOA BUSINESS PARK DR SUITE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1487091377 | JULIE TENCKINCK SAUER OTL Individual | Occupational Therapist | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1285772822 | PATRICE GAGE CNP Individual | Nurse Practitioner (Pediatrics) | 2305 GENOA BUSINESS PARK DR STE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1356500912 | MR. CHRISTOPHER RAY STUART P.A.-C. Individual | Physician Assistant (Surgical) | 2305 GENOA BUSINESS PARK DR SUITE 170 BRIGHTON, MI 48114 (810) 299-8550 |
| 1710072483 | JESSICA L HUHN M.D. Individual | Pediatrics | 2305 GENOA BUSINESS PARK DR STE 240 BRIGHTON, MI 48114 (810) 494-6820 |
| 1467873828 | IHA HEALTH SERVICES CORPORATION Organization | Obstetrics & Gynecology | 2305 GENOA BUSINESS PARK DR SUITE 230 BRIGHTON, MI 48114 (517) 545-6618 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659624591, enumerated in the NPI registry as an "organization" on October 16, 2012
The provider is located at 2305 Genoa Business Park Dr Brighton, Mi 48114 and the phone number is (810) 355-4300
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D2077425 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.