Jeffrey Neil Samuelson (NPI# 1407912678, PAC ID# 1759566086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1407912678 |
| PAC ID by PECOS | 1759566086 |
| Professional Enrollment ID | I20110429000436 |
| Full Name | Jeffrey Neil Samuelson |
| Organization Legal Name | TWIN PORTS DERMATOLOGY INC |
| Address |
1414 Woodland Ave Duluth MN 55803-2624 |
| Phone Number | 2183021000 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0244542454 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1414 Woodland Ave, Duluth, MN 55803-2624 | 2183021000 | TWIN PORTS DERMATOLOGY INC |
| Organization Legal Name | TWIN PORTS DERMATOLOGY INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn M Bhoopal | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Amy J Larson | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Cynthia Y Eaton | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Cameron West | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Heather M Smith | Physician Assistant | Twin Ports Dermatology Inc | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Street Address |
1414 WOODLAND AVE |
| City | DULUTH |
| State | MN |
| Zip | 55803-2624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn M Bhoopal | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Amy J Larson | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Cynthia Y Eaton | Nurse Practitioner | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Cameron West | Dermatology | Twin Ports Dermatology Inc | 1414 Woodland Ave, Duluth, MN 55803-2624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Lafrance | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Lindsay Marie Johnson | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Jennifer A Prom | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Suzanne Anderson | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Kelsea N Pearson | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Lori Gw Lindgren | Nurse Practitioner | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Carl P. Rasmussen | Family Medicine | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Anna C Greiner | Physician Assistant | St. Luke's Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Patricia L Earley | Nurse Practitioner | St. Luke's Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
| Amy M Oakes | Physical Therapy | Therapy Partners Inc | 66 E Saint Marie St, Duluth, MN 55803-2646 |
| Find all physicians in zip 55803 | |||
| City | DULUTH |
| Zip Code | 55803 |
| Specialty | DERMATOLOGY |
| City + Specialty | DULUTH + DERMATOLOGY |
Please comment or provide details below to improve the information on Jeffrey Neil Samuelson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.