DR. WESTLEY SHIGEO MORI (NPI# 1487181285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487181285 |
| Entity Type | Individual |
| Full Name | DR. WESTLEY SHIGEO MORI |
| Credential | M.D. |
| Practice Address |
1021 Bandana Blvd E Ste 100 Saint Paul MN 55108-5109 |
| Mailing Address |
516 Delaware St Se Mmc 98 Minneapolis MN 55455 |
| Practice Telephone | 6512419700 |
| Mailing Telephone | 8084291382 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 66576 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3800 Park Nicollet Blvd, St Louis Park, MN 554162527 | 9529933123 | 9529933286 |
| Street Address |
1021 BANDANA BLVD E STE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764419 | Stella U Ekong | Family Medicine | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2006-03-22 |
| 1710593637 | Allina Health System | Clinic/Center | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-09-16 |
| 1619509866 | Jessica Hamel Dusold | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-02-06 |
| 1487293627 | Kirsten Norby | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2020-01-06 |
| 1598267148 | Sarah Imdieke | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2018-02-28 |
| 1205334828 | Tess Abrahamson | Physician Assistant | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2018-01-29 |
| 1881110310 | Hannah Mareen Stafford | Audiologist | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2017-08-16 |
| 1912436007 | Alicia Schroepfer | Nurse Practitioner | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | 2017-06-12 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| 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 |
| 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 |
| 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 | 55108 |
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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.