KEITH MITCHELL SKUBITZ (NPI# 1215019203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215019203 |
| Entity Type | Individual |
| Full Name | KEITH MITCHELL SKUBITZ |
| Credential | MD |
| Practice Address |
424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100 Minneapolis MN 55455 |
| Mailing Address |
420 Delaware Street Se University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126255411 |
| Mailing Telephone | 6126255411 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23896 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
23896 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10387 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 2T180SK | 01 |
| MN | MEDICA PRIMARY | 36-00013 | 01 |
| MN | UCARE | 100796 | 01 |
| MN | HEALTH PARTNERS | HP22239 | 01 |
| WI | 30713600 | 05 | |
| MN | ARAZ | 597099 | 01 |
| SD | 7777470 | 05 | |
| MN | PREFERRED ONE | 1009310 | 01 |
| MN | MEDICA CHOICE | 36-00276 | 01 |
| MN | 757873300 | 05 |
| Street Address |
424 HARVARD STREET SE MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720186893 | Tanya Watson | Nurse Practitioner | 424 Harvard Street Se, First Floor, Suite M100 - Masonic Cancer Center, Minneapolis, MN 55455 | 2006-09-20 |
| 1033209556 | Richard A King | Internal Medicine | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-10-13 |
| 1912008921 | Gregory M Vercellotti | Internal Medicine | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-09-25 |
| 1972604981 | Richard K Vehe | Pediatrics | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1720212467 | Christian Michael Squillante | Internal Medicine | 800 E 28th St Ste 401, Minneapolis, MN 55407-3723 | 2009-05-11 |
| 1902062433 | Emil Lou | Internal Medicine | 424 Harvard St Se, Masonic Cancer Clinic, University of Minnesota, Minneapolis, MN 55455-0362 | 2008-08-04 |
| 1780768937 | Bruce A Peterson | Internal Medicine | University of Minnesota Physicians, 420 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-24 |
| 1497845861 | Robert Arthur Kratzke | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-10-13 |
| 1871691709 | Dale E Hammerschmidt | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-09-21 |
| 1578668174 | Kathryn E Dusenbery | Internal Medicine | 500 Harvard St Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-09-14 |
| 1760467427 | Dean H Gesme Jr. | Internal Medicine | 910 E 26th St, Suite 200, Minneapolis, MN 55404-4526 | 2005-12-14 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.