UNITED SKIN SPECIALISTS MISSOURI LTD, PC (NPI# 1639605074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639605074 |
| Entity Type | Organization |
| Organization Name | UNITED SKIN SPECIALISTS MISSOURI LTD, PC |
| Practice Address |
2 Carlson Pkwy N Suite 240 Plymouth MN 55447-4466 |
| Practice Telephone | 7633677979 |
| Practice Fax Number | 7633677977 |
| Mailing Telephone | 7633677979 |
| Mailing Fax Number | 7633677977 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | MR. JIM FEINSTEIN (PRESIDENT & COO) |
| Authorized Official Telephone | 7632258536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104368489 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 201, Chesterfield, MO 63017-2167 | 2016-11-17 |
| 1730621244 | United Skin Specialists Missouri Ltd, PC | Dermatology | 621 S New Ballas Rd, Suite 498a, Saint Louis, MO 63141-8232 | 2016-11-15 |
| 1225482839 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2167 | 2016-04-20 |
| 1437512993 | United Skin Specialists Missouri Ltd, PC | Clinic/Center | 1001 Chesterfield Pkwy E, Suite 102, Chesterfield, MO 63017-2167 | 2016-04-01 |
| Street Address |
2 CARLSON PKWY N SUITE 240 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1073968343 | Pt Logix, LLC | Specialist/Technologist | 2 Carlson Pkwy N, #125, Plymouth, MN 55447-4466 | 2016-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| 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 |
|---|---|---|---|---|
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1952506552 | Marcos Sastre | Dermatology | 8 Market Xing, Plymouth, MA 02360-7736 | 2007-06-15 |
| 1417168535 | Navid Bouzari | Dermatology | 1 Scobee Cir Ste 3, South Shore Skin Center, Plymouth, MA 02360-4887 | 2007-05-24 |
| 1568552594 | Dermatology Associates of The South Shore PC | Dermatology | 8 Market Crossing, Plymouth, MA 02360-7736 | 2006-10-13 |
| 1497774962 | Jeffrey N Farber | Dermatology | 345 Court St, Suite 201, Plymouth, MA 02360-4329 | 2006-07-18 |
| 1730148065 | Arthur W Gulick | Dermatology | 221 N Sheldon Rd, Plymouth, MI 48170-1524 | 2006-03-23 |
| 1851378020 | Phillip M Ecker | Dermatology | 3655 Plymouth Blvd, Suite 110, Plymouth, MN 55446-3664 | 2005-12-28 |
| 1497738975 | H Spencer Holmes | Dermatology | 1295 Walnut Grove Ln N, Plymouth, MN 55447-1093 | 2005-11-29 |
| 1992700728 | Richard Franklin Eisen | Dermatology | 1 Scobee Cir, Unit 3, Plymouth, MA 02360-4887 | 2005-06-17 |
| Find all providers in PLYMOUTH | ||||
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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.