BURREL H DEATON (NPI# 1710040209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710040209 |
| Entity Type | Individual |
| Full Name | BURREL H DEATON |
| Credential | MD |
| Practice Address |
6490 Excelsior Blvd Suite W406 St Louis Park MN 55426 |
| Practice Telephone | 9529262162 |
| Practice Fax Number | 9529265602 |
| Mailing Telephone | 9529262162 |
| Mailing Fax Number | 9529265602 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 18806 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 03395DE | 01 | |
| PROVIDER BS | 0N075DE | 01 |
| Street Address |
6490 EXCELSIOR BLVD SUITE W406 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516817 | Allyson M Hayward | Social Worker | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2005-11-29 |
| 1043451040 | Kristen Cecile Kading | Pharmacist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2009-03-20 |
| 1275779902 | Andrea Arvold | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-12-31 |
| 1609040856 | Urology Associates, Ltd | Urology | 6490 Excelsior Blvd, Suite E202, St Louis Park, MN 55426-4705 | 2008-04-18 |
| 1154591683 | Sharon M Johnson | Dietitian, Registered | 6490 Excelsior Blvd, Ste W505, St Louis Park, MN 55426-4705 | 2008-03-12 |
| 1023206935 | Tamara A Johnson | Physician Assistant | 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426-4705 | 2007-10-05 |
| 1699965319 | Anna Pasternak Levine | Advanced Practice Midwife | 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 | 2007-07-30 |
| 1578627717 | Arlene R Lutenegger | Psychologist | 6490 Excelsior Blvd, Suite W505, St Louis Park, MN 55426 | 2006-12-21 |
| 1689741670 | Susan Aleta Cleaveland | Physical Therapist | 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | 2006-11-29 |
| 1891866901 | Lori E Strand | Occupational Therapist | 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426-4705 | 2006-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1144207952 | Allison L Schini | Dermatology | Park Nicollet Clinic - Slp, 3800 Park Nicollet Blvd Admin 7n, St Louis Park, MN 55416 | 2005-12-22 |
| 1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
| 1609304617 | Adam Souhail Aldahan | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2017-06-03 |
| 1619364494 | Jaime Loso | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2015-04-20 |
| 1225443419 | Jennifer Day | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-06-25 |
| 1699193714 | Kathryn Therese Shahwan | Dermatology | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-04-05 |
| 1922442599 | Albert Gutierrez Jr. | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2013-04-25 |
| 1679837637 | Desiree Alaina Mohandas | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2012-06-25 |
| 1104143437 | Anne B Neeley | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2010-04-27 |
| 1215199963 | Larisa Sotinsky Speetzen | Dermatology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2008-06-25 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on BURREL H DEATON.
| 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.