SAINT PAUL DERMATOLOGY LTD (NPI# 1184114803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184114803 |
| Entity Type | Organization |
| Organization Name | SAINT PAUL DERMATOLOGY LTD |
| Practice Address |
400 Selby Ave Ste S Saint Paul MN 55102-4520 |
| Mailing Address |
535 Dayton Ave Saint Paul MN 55102-1709 |
| Practice Telephone | 5237341239 |
| Practice Fax Number | 6513834947 |
| Mailing Telephone | 6513548105 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | ANASTASIOS PAPPAS (MD/OWNER) |
| Authorized Official Telephone | 6513548105 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7100 Northland Cir N Ste 119, Brooklyn Park, MN 554281500 | 9523734123 | |
| 400 Selby Ave Ste S, Saint Paul, MN 551024520 | 5237341239 | 6513834947 |
| Street Address |
400 SELBY AVE STE S |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904970 | Anastasios Angelo Pappas | Dermatology | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2005-07-06 |
| 1245669613 | Margaret Valen | Marriage & Family Therapist | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2013-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1568567139 | Dermatology Consultants, Pa | Dermatology | 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 | 2006-09-14 |
| 1467406843 | Julie S Cronk | Dermatology | 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131 | 2006-05-20 |
| 1265411805 | Cortney D White | Dermatology | 280 Snelling Ave N, Saint Paul, MN 55104 | 2006-01-12 |
| 1912904970 | Anastasios Angelo Pappas | Dermatology | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2005-07-06 |
| 1487181285 | Westley Shigeo Mori | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-05-11 |
| 1194250605 | Gowri Kabbur | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-04-22 |
| 1376076075 | Kristin Elaine Totoraitis | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-04-10 |
| 1003270232 | Andrea Langeveld | Dermatology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-04-13 |
| 1386006054 | Jamie Lea Hanson | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2016-03-22 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.