Kathleen M Demanivel (NPI# 1477543957, PAC ID# 8123050622) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1477543957 |
| PAC ID by PECOS | 8123050622 |
| Professional Enrollment ID | I20050906000742 |
| Full Name | Kathleen M Demanivel |
| Organization Legal Name | TAREEN DERMATOLOGY PA |
| Address |
1835 County Rd C W Suite 250 Roseville MN 55113-1352 |
| Phone Number | 6516336883 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8123288156 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 | 6516336883 | TAREEN DERMATOLOGY PA |
| Organization Legal Name | TAREEN DERMATOLOGY PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Stanek | Physician Assistant | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Ryan L Holzwarth | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Lorraine J Griffin | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Mohiba Tareen | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Street Address |
1835 COUNTY RD C W SUITE 250 |
| City | ROSEVILLE |
| State | MN |
| Zip | 55113-1352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Stanek | Physician Assistant | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Kristen M Finnegan | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Margaret E F Spartz | Preventative Medicine | 1835 County Rd C W, Suite 80, Roseville, MN 55113-1343 | |
| Laura Bethany Johnson | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Elizabeth A Griffin | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Kari A Roden | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Chloe Ann Ferrar | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Ryan L Holzwarth | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Lorraine J Griffin | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Eryn N Johnson | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Phillip Charles Stewart | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Grady J Glynn | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Tonya M Wells | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Caroline A Mason | Family Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Rocklin A Shir | Emergency Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Find all physicians in zip 55113 | |||
| City | ROSEVILLE |
| Zip Code | 55113 |
| Specialty | DERMATOLOGY |
| City + Specialty | ROSEVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Kathleen M Demanivel.
| 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.