Bay Area Dermatology
NPI 1306082755ActiveOrganization· Specialist· Traverse City, MI
Specialist in Traverse City, Michigan, registered in NPPES in January 2009. The authorized official on file is James J. Simons, Sole Owner.
Overview
| NPI | 1306082755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2009 |
| Last updated in NPPES | Jan 6, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 4301039948 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 37 Specialist providers in Traverse City · All Specialist providers in Michigan