DR. SUSAN M HOLT (NPI# 1932201639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932201639 |
| Entity Type | Individual |
| Full Name | DR. SUSAN M HOLT |
| Credential | M.D. |
| Practice Address |
6425 Nicollet Ave Suite 202 Richfield MN 55423-1668 |
| Practice Telephone | 6128692086 |
| Practice Fax Number | 6128694903 |
| Mailing Telephone | 6128692086 |
| Mailing Fax Number | 6128694903 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 300072 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | U CARE | 100189 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 49637HO | 01 |
| MN | PREFERRED ONE | 492003 | 01 |
| MN | HEALTH PARTNERS | HP13424 | 01 |
| MN | MEDICA | 0316269 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306224555 | Susan Holt | Physical Therapy Assistant | 4556 Royal Oak Dr Sw, Roanoke, VA 24018-1732 | 2015-05-08 |
| 1588922595 | Susan Anne Holt | Occupational Therapist | 1235 Hassell Cir, Hoffman Estates, IL 60169-6951 | 2012-04-26 |
| 1770557522 | Susan A. Holt | Optometrist | 2702 N Kings Hwy, Myrtle Beach, SC 29577-3012 | 2006-02-16 |
| 1629414529 | Susan Lynne Holt | Psychologist | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2013-05-17 |
| 1265685309 | Susan Holt | Registered Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2008-11-03 |
| 1780709378 | Susan Pearre Holt | Speech-Language Pathologist | 852 Merrimon Ave, Asheville, NC 28804-2405 | 2007-03-20 |
| 1316079049 | Susan Skinner Holt | Psychologist | 100 S University Ave, Suite 200, Little Rock, AR 72205-5213 | 2007-03-09 |
| 1386787406 | Susan Holt | Physical Therapist | 106 Lincoln Place Ct, Belleville, IL 62221-5884 | 2007-02-15 |
| 1902961865 | Susan F Holt | Counselor | 2750 S 8th St, Beaumont, TX 77701-7719 | 2006-12-22 |
| 1245394626 | Susan Holt | Counselor | 421 Sw Oak St, Suite 520, Portland, OR 97204-1817 | 2006-12-20 |
| Street Address |
6425 NICOLLET AVE SUITE 202 |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568430312 | Francis S. Tougas | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1668 | 2006-03-09 |
| 1124640958 | Marina Himmer | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2020-05-14 |
| 1093356297 | Jenna Marandon Soderbeck | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-09-30 |
| 1194380774 | Jane Dorothea Miller | Counselor | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2019-05-08 |
| 1285106047 | Maria Larue Anderson | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-12-18 |
| 1912472598 | Erin Christa Shannon | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-10-10 |
| 1376027367 | Jonathan Lewis | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2018-09-17 |
| 1487176590 | Michael John Landgren | Psychologist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-07-10 |
| 1427595628 | Mi Ki Leong | Marriage & Family Therapist | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2017-01-25 |
| 1063863991 | Kelly Sternhagen | Social Worker | 6425 Nicollet Ave, Richfield, MN 55423-1675 | 2016-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| 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 |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1205960317 | Southwest Dermatology Specialists. Ltd | Dermatology | 6425 Nicollet Ave, Suite 202, Richfield, MN 55423-1668 | 2007-03-14 |
| 1629000534 | David William Groth | Dermatology | 6425 Nicollet Ave, Suite # 202, Richfield, MN 55423-1675 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871608 | Lakes Dermatology, Pa | Dermatology | 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 | 2015-09-23 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
| 1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
| 1770885360 | Thomas Joseph Kalb | Dermatology | 13420 106th St., Young America, MN 55397-5401 | 2010-12-02 |
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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.