DERMATOLOGY CONSULTANTS, PA (NPI# 1568567139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568567139 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CONSULTANTS, PA |
| Practice Address |
60 Plato Blvd E Suite 270 Saint Paul MN 55107-1827 |
| Practice Telephone | 6512919166 |
| Practice Fax Number | 6512919169 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-02-24 |
| Authorized Official Name | JERRY W STANKE (PRESIDENT) |
| Authorized Official Telephone | 6512919166 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
60 PLATO BLVD E SUITE 270 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891821799 | Drake Chiropractic, P.a. | Chiropractor | 60 Plato Blvd E, Suite 110, Saint Paul, MN 55107-1827 | 2007-02-26 |
| 1427192616 | Joshua Alan Rutzick | Chiropractor | 60 Plato Blvd E, Suite 110, Saint Paul, MN 55107-1827 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| Find all providers in zip 55107 | ||||
| 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 |
| 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 |
| 1184114803 | Saint Paul Dermatology Ltd | Dermatology | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2018-05-17 |
| 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 | 55107 |
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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.