MRS. WENDY ROBERTA TIMMONS


Address: 4480 Centerville Rd, Saint Paul, MN 55127-3674
Phone: 6514842724

MRS. WENDY ROBERTA TIMMONS (NPI# 1063508414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063508414
Entity Type Individual
Full Name MRS. WENDY ROBERTA TIMMONS
Other Name WENDY ROBERTA OOSTING
Credential PAC
Practice Address 4480 Centerville Rd
Saint Paul
MN 55127-3674
Practice Telephone 6514842724
Practice Fax Number 6514842723
Mailing Telephone 6514842724
Mailing Fax Number 6514842723
Enumeration Date 2006-10-05
Last Update Date 2010-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 10167 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 4480 CENTERVILLE RD
City SAINT PAUL
State MN
Zip Code 55127-3674

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982690145 Shelly Lynn Larson Physician Assistant 4480 Centerville Rd, Saint Paul, MN 55127-3674 2005-09-23
1982656955 Heather Kill Physician Assistant 4480 Centerville Rd, Saint Paul, MN 55127-3674 2006-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013514058 Taylor Nessa Draves Behavior Technician 1011 Meadowlamds Dr, White Bear Lake, MN 55127 2020-10-02
1578104196 Patricia Lynn Bina Technician 3677 Centerville Rd, Vadnais Heights, MN 55127 2019-10-04
1023538469 Dignicare Senior Management of Vadnais Assisted Living Facility 580 Liberty Way, Vadnais Heights, MN 55127 2017-06-27
1548610207 Golden Elderly Care Suites LLC Assisted Living Facility 4624 Stoddart Circle, White Bear Lake, MN 55127 2016-06-14
1811018203 Adam F Curtis Dentist 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 2007-04-03
1134215700 Phoenix Residence, Inc. Intermediate Care Facility, Mentally Retarded 785 E County Road E, Vadnais Heights, NE 55127 2006-10-04
1861404790 Gerald James Pease Optometrist 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 2006-08-12
1235629395 Suite Living Senior Management Assisted Living Facility 197 County Road B2 W, Roseville, MN 55127 2018-05-15
1760986624 Diandra Shakira Williams Physician Assistant 3580 Arcade St, Vadnais Heights, MN 55127 2018-03-23
1811370729 Sonya L Knudson Psychologist 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 2015-07-09
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1003270232 Andrea Langeveld Dermatology 401 Phalen Blvd, Saint Paul, MN 55130-5302 2016-04-13
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City SAINT PAUL
Zip Code 55127

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Dataset Information

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.

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