Derm Institute of West Michigan PLC
NPI 1003460874ActiveOrganization· Dermatology· Caledonia, MI
Dermatology in Caledonia, Michigan, registered in NPPES in July 2019. The authorized official on file is Kristi Beth Hawley, DO, Sole Mbr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003460874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2019 |
| Last updated in NPPES | Jul 27, 2023 |
| Certified by provider | Jul 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Dermatology providers in Caledonia
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