Jeffrey A Squires (NPI# 1639115074, PAC ID# 8325949977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639115074 |
| PAC ID by PECOS | 8325949977 |
| Professional Enrollment ID | I20110502000318 |
| Full Name | Jeffrey A Squires |
| Organization Legal Name | ASSOCIATED SKIN CARE SPECIALISTS |
| Address |
500 Osborne Nerd Suite 330 Fridley MN 55432-2769 |
| Phone Number | 7635714000 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1986 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8921908047 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3833 Coon Rapids Nwblvd, Suite 280, Coon Rapids, MN 55433-2597 | 7635714000 | ASSOCIATED SKIN CARE SPECIALISTS |
| 500 Osborne Nerd, Suite 330, Fridley, MN 55432-2769 | 7635714000 | ASSOCIATED SKIN CARE SPECIALISTS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 52% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 100% |
| Organization Legal Name | ASSOCIATED SKIN CARE SPECIALISTS |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly C Hanson | Dermatology | Associated Skin Care Specialists | 18315 Cascade Dr, Suite 150, Eden Prairie, MN 55347-1185 |
| Steven E Kempers | Dermatology | Associated Skin Care Specialists | 7205 University Neave, Fridley, MN 55432-3134 |
| Scott P Prawer | Dermatology | Associated Skin Care Specialists | 7205 University Neave, Fridley, MN 55432-3134 |
| Roger H Weenig | Dermatology | Associated Skin Care Specialists | 7205 University Neave, Fridley, MN 55432-3134 |
| Bailey Christine Lee | Dermatology | Associated Skin Care Specialists | 9600 Upland N Ln, Suite 250, Maple Grove, MN 55369-4497 |
| Frederick S Fish | Dermatology | Associated Skin Care Specialists | 18315 Cascade Dr, Suite 150, Eden Prairie, MN 55347-1185 |
| Soheil Y Pakzad | Dermatology | Associated Skin Care Specialists | 7205 University Neave, Fridley, MN 55432-3134 |
| Jeffrey M Freed | Dermatology | Associated Skin Care Specialists | 9600 Upland N Ln, Suite 250, Maple Grove, MN 55369-4497 |
| John D Mischke | Dermatology | Associated Skin Care Specialists | 7205 University Neave, Fridley, MN 55432-3134 |
| Jane H Lisko | Dermatology | Associated Skin Care Specialists | 18315 Cascade Dr, Suite 150, Eden Prairie, MN 55347-1185 |
| Street Address |
500 OSBORNE NERD SUITE 330 |
| City | FRIDLEY |
| State | MN |
| Zip | 55432-2769 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Berton Ahlberg | Neurosurgery | 500 Osborne Nerd, Suite 115, Fridley, MN 55432-2767 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Blenker | Optometry | 8450 University Ave Ne, Fridley, MN 55432-1164 | |
| Brianna C Ludtke | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Matthew S Butterfield | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Lisa M Hromadka | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Kevin J Murphy | Occupational Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| David A Willey | Family Medicine | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Brian P Bjerke | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Kelly M Borreson | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Marjorie L Van Der Hagen | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Joshua J Bennington | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Find all physicians in zip 55432 | |||
| City | FRIDLEY |
| Zip Code | 55432 |
| Specialty | DERMATOLOGY |
| City + Specialty | FRIDLEY + DERMATOLOGY |
Please comment or provide details below to improve the information on Jeffrey A Squires.
| 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.