ANDREA LANGEVELD (NPI# 1003270232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003270232 |
| Entity Type | Individual |
| Full Name | ANDREA LANGEVELD |
| Other Name | ANDREA BEATA PEACOCK |
| Practice Address |
401 Phalen Blvd Saint Paul MN 55130-5302 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 6512547580 |
| Mailing Telephone | 6512547580 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 62827 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 South Ave, La Crosse, WI 546015429 | 6087827300 | |
| 200 1st St Sw, Rochester, MN 559055429 | (507) 284-2511 |
| Street Address |
401 PHALEN BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699740 | Marlane J Brown | Optometrist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2005-09-16 |
| 1588297113 | Choua Yang Polaski | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-02-21 |
| 1588295687 | Fadumo Adan Salad | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-28 |
| 1992345110 | Hannah Kristine Dahl | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-15 |
| 1417476185 | Rebecca Horvath | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-09-14 |
| 1154867430 | Erika Jarvey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-01-11 |
| 1134674682 | Kacie Jo Massey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-24 |
| 1902251325 | Jennifer Lonetti | Physical Therapist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-05-04 |
| 1649640152 | Brittany Rae Kelly | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130 | 2015-09-28 |
| 1568844587 | Jutarat Sangtian | Internal Medicine | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| 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 |
|---|---|---|---|---|
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1568567139 | Dermatology Consultants, Pa | Dermatology | 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 | 2006-09-14 |
| 1467406843 | Julie S Cronk | Dermatology | 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110-5131 | 2006-05-20 |
| 1265411805 | Cortney D White | Dermatology | 280 Snelling Ave N, Saint Paul, MN 55104 | 2006-01-12 |
| 1912904970 | Anastasios Angelo Pappas | Dermatology | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2005-07-06 |
| 1184114803 | Saint Paul Dermatology Ltd | Dermatology | 400 Selby Ave Ste S, Saint Paul, MN 55102-4520 | 2018-05-17 |
| 1487181285 | Westley Shigeo Mori | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-05-11 |
| 1194250605 | Gowri Kabbur | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-04-22 |
| 1376076075 | Kristin Elaine Totoraitis | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-04-10 |
| 1386006054 | Jamie Lea Hanson | Dermatology | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2016-03-22 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
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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.