DERMATOLOGY ASSOCIATES, P.C. (NPI# 1821273681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821273681 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES, P.C. |
| Other Organization Name | DERMATOLOGY ASSOCIATES |
| Practice Address |
4133 30th Ave S Ste 101 Fargo ND 58104 |
| Practice Telephone | 7014787747 |
| Practice Fax Number | 7014787748 |
| Mailing Telephone | 7014787747 |
| Mailing Fax Number | 7014787748 |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | DR. BETH A HONL (PHYSICIAN) |
| Authorized Official Telephone | 7014787747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 026092400 | 05 | |
| ND | 12984 | 05 | |
| MN | BLUE SHIELD OF MN | 246K7DE | 01 |
| ND | BLUE SHIELD OF ND | 06218001 | 01 |
| Other Name | Type Code |
|---|---|
| Dermatology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033390695 | Dermatology Associates, P.C. | Dermatology | 110 Irving St Nw # 2b28, Washington, DC 20010-3017 | 2007-11-23 |
| 1639483704 | Dermatology Associates, P.C. | Specialist | 931 E 86th St, Suite 104, Indianapolis, IN 46240-1860 | 2010-08-01 |
| 1407058324 | Dermatology Associates, P.C. | Dermatology | 3201 W Peoria Ave, Suite C-600, Phoenix, AZ 85029-4608 | 2007-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DERMATOLOGY ASSOCIATES, P.C. | 95 Chapel St., Norwood, MA 02062 |
| Oregon Corporations, Companies and Business Names | DERMATOLOGY ASSOCIATES, P.C. | 10215 Sw Hall Blvd, Tigard, OR 97223 |
| Iowa Business Entities | DERMATOLOGY ASSOCIATES, P.C. | 3812 Pheasant Lane, Waterloo, IA 50701 |
| Street Address |
4133 30TH AVE S STE 101 |
| City | FARGO |
| State | ND |
| Zip Code | 58104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902978455 | Beth A Honl | Dermatology | 4133 30th Ave S Ste 101, Fargo, ND 58104-8421 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 1205031713 | Rachel C Ness | Dermatology | 3173 43rd Street S Ste A, Fargo, ND 58104-4564 | 2007-06-15 |
| 1902978455 | Beth A Honl | Dermatology | 4133 30th Ave S Ste 101, Fargo, ND 58104-8421 | 2006-11-13 |
| 1952408809 | Chetan P Maingi | Dermatology | 4556 40th Avenue South, Suite 130, Fargo, ND 58104 | 2006-09-20 |
| 1639121304 | Thomas J Matzke | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-05-17 |
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1912359977 | Natalie Marie Kollman | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-07-01 |
| 1043666274 | Dong Kim | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-05-06 |
| 1225440324 | Ryan Bogner | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2014-05-22 |
| 1518247816 | Sanford Medical Center Fargo | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2011-08-18 |
| 1952539223 | Tania Marie Gonzalez Santiago | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2009-06-25 |
| Find all providers in FARGO | ||||
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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.