DR. BART THEODORE ENDRIZZI (NPI# 1235323585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235323585 |
| Entity Type | Individual |
| Full Name | DR. BART THEODORE ENDRIZZI |
| Credential | M.D/PH.D. |
| Practice Address |
420 Delaware St Se Minneapolis MN 55455-0341 |
| Mailing Address |
720 Washington Ave Se University of Minnesota Physicians Minneapolis MN 55414 |
| Practice Telephone | 6126258625 |
| Mailing Telephone | 6128840649 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
52206 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
420 DELAWARE ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202593 | Christopher J Geisler | Physician Assistant | 420 Delaware St Se, Mmc 292; Suite Mayo B228, Minneapolis, MN 55455-0341 | 2005-08-12 |
| 1366056095 | Yuki Shima | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-09-01 |
| 1194348029 | Katarina Elizabeth Cheng | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455 | 2020-05-27 |
| 1306469630 | Damian Hall | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-21 |
| 1538781588 | Madisen Janssen | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-13 |
| 1023639648 | Della Bro | Genetic Counselor, MS | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1790306306 | Michael Gregory Michalik | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1679194609 | Xiaolei Shi | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-30 |
| 1467073767 | Sergio Michael Navarro | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| 1295356400 | Jeffrey Lane Bowers | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740532340 | Clarus Dermatology Pa | Dermatology | 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372 | 2012-10-05 |
| 1598925513 | Ian A Maher | Dermatology | 909 Fulton St Se, Minneapolis, MN 55455 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115610 | Dermatology Partners Pllc | Dermatology | 4041 28th St Nw Ste 200, Rochester, MN 55901-7943 | 2020-02-09 |
| 1023460243 | Ji Won Ahn | Dermatology | 200 1st St Sw, Rochester, MN 55905-5902 | 2016-07-12 |
| 1487018263 | Sama Kassira Carley | Dermatology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-07 |
| 1730206541 | Michael Robert Campoli | Dermatology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2007-03-25 |
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.