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DR. MARY BETH ANDERSON D.O. NPI 1457419160


NPI Information

NPI: 1457419160
Provider Name: DR. MARY BETH ANDERSON, D.O.
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
18756 MILLAR RD
CLINTON TOWNSHIP, MI
ZIP 48036
Phone: (586) 381-0177
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DR. Mary Beth Anderson, D.O. is a dermatopathology pathology in Clinton Township, MI. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. DR. Mary Beth Anderson, D.O. NPI is 1457419160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18756 MILLAR RD
CLINTON TOWNSHIP, MI
ZIP 48036-095
Phone: (586) 381-0177
Fax: (859) 987-7661

The NPI 1457419160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZD0900XPathologyDermatopathology5101011355MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G57406MEDICARE UPINMICHIGAN
2OEO6061007MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
32155003214OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.