Patricia Ceballos, MD

Public-record details

Address

1673 Gezon Pkwy Sw, Wyoming, MI 49519

Phone

(616) 243-3376

Listed under

Individual clinicians, Mohs and procedural dermatology

NPI

1528054855

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Dermatology, MOHS-Micrographic Surgery (207ND0101X)

Credentials listed

MD

License number on NPI record

EMC0009709 (MI)

NPI first issued

Sep 22, 2005

Years since NPI first issued

21 years (since 2005)

License state on NPI record

MI

NPI record last updated

Sep 21, 2026

Other dermatology listings at this street address

3

NPI 1528054855 is active in the federal NPPES registry (CMS) with Dermatology, MOHS-Micrographic Surgery as its self-reported primary taxonomy; license EMC0009709 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1528054855 in the official registry ↗

Practices and clinicians at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Ryan Freeland, MD
• Jack Dekkinga, MD
• Wolverine Dermatology, PC (practice/organization)