Neil A Shah (NPI# 1487844205, PAC ID# 7113085796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1487844205 |
| PAC ID by PECOS | 7113085796 |
| Professional Enrollment ID | I20081027000243 |
| Full Name | Neil A Shah |
| Organization Legal Name | CLARUS DERMATOLOGY PA |
| Address |
2603 39th Ave Ne Suite D 202 St Anthony MN 55421-4372 |
| Phone Number | 6122132370 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7911157946 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2603 39th Ave Ne, Suite D 202, St Anthony, MN 55421-4372 | 6122132370 | CLARUS DERMATOLOGY PA |
| Organization Legal Name | CLARUS DERMATOLOGY PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura K Stanz | Physician Assistant | Clarus Dermatology Pa | 2603 39th Ave Ne, Suite D 202, St Anthony, MN 55421-4372 |
| Craig T Roelke | Dermatology | Clarus Dermatology Pa | 2603 39th Ave Ne, Suite D 202, St Anthony, MN 55421-4372 |
| Street Address |
2603 39TH AVE NE SUITE D 202 |
| City | ST ANTHONY |
| State | MN |
| Zip | 55421-4372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura K Stanz | Physician Assistant | Clarus Dermatology Pa | 2603 39th Ave Ne, Suite D 202, St Anthony, MN 55421-4372 |
| Craig T Roelke | Dermatology | Clarus Dermatology Pa | 2603 39th Ave Ne, Suite D 202, St Anthony, MN 55421-4372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley K Ganser | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Rachael K Moberg | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Christina L Fjeld | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Diana M Tafur | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Brianna E Larson | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 755 53rd Ave Ne, Fridley, MN 55421-1240 |
| Meghabhuti Roth | Family Medicine | 5178 Central Ave Ne, Columbia Heights, MN 55421-1825 | |
| Andrew Carl Drier | Chiropractic | 4111 Central Ave Ne, Suite 105, Columbia Heights, MN 55421-2957 | |
| Wayne Michael Eck | Chiropractic | Heights Chiropractic Clinic Pa | 4111 Central Ave Ne, Suite 105, Columbia Heights, MN 55421-2957 |
| Brooke E Kern | Nurse Practitioner | Fairview Health Services | 4000 Central Ave Ne, Columbia Heights, MN 55421-2968 |
| Timothy A Eiesland | Clinical Social Worker | Fairview Health Services | 4000 Central Neave, Columbia Heights, MN 55421-2968 |
| Find all physicians in zip 55421 | |||
| City | ST ANTHONY |
| Zip Code | 55421 |
| Specialty | DERMATOLOGY |
| City + Specialty | ST ANTHONY + DERMATOLOGY |
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| 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.