KENNETH R MINK (NPI# 1932102829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932102829 |
| Entity Type | Individual |
| Full Name | KENNETH R MINK |
| Credential | MD |
| Practice Address |
3800 W 12th St Erie PA 16505-3380 |
| Practice Telephone | 8148330399 |
| Practice Fax Number | 8148334999 |
| Mailing Telephone | 8148330399 |
| Mailing Fax Number | 8148334999 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD054676L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
3800 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417225277 | Pravinkumar P Patel | Specialist | 3800 W 12th St, Erie, PA 16505-3380 | 2011-12-08 |
| 1518041177 | Jennifer L Pfeffer | Social Worker | 3800 W 12th St, Erie, PA 16505-3380 | 2006-10-24 |
| 1205935889 | Bruce Daniel Kobal | Psychologist | 3800 W 12th St, Erie, PA 16505-3380 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901025 | Bucks County Dermaesthetics | Dermatology | 1 Summit Square Ctr, Langhorne, PA 19047-1091 | 2020-01-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1124483623 | Forefront Dermatology, S.c. | Dermatology | 4731 Route 30, Suite 402, Greensburg, PA 15601 | 2015-12-28 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| 1821329004 | Stephen G Wiener | Dermatology | 44 Meadow Glen Ln, Reading, PA 19607-9427 | 2010-01-27 |
| 1730373432 | Anne Marie C. Angeles M.d. P.C. | Dermatology | 1440 Mckean St, Philadelphia, PA 19145-2308 | 2007-09-05 |
| 1417081803 | Louis Alfred Brown Jr. | Dermatology | 6326 Rising Sun Ave, Philadelphia, PA 19111-5630 | 2007-03-15 |
| 1174674899 | Judith I Arluk | Dermatology | 1987 Centurion Dr, Suite 001, Forest Hills, Pittsburgh, PA 15221 | 2007-01-16 |
| 1679650006 | Proctor and Proctor PC | Dermatology | 1227 Westside Ave, Honesdale, PA 18431-1715 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.