CRAIG THOMAS ROELKE (NPI# 1922328418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922328418 |
Entity Type | Individual |
Full Name | CRAIG THOMAS ROELKE |
Credential | M.D. |
Practice Address |
2603 39th Ave Ne Suite D-202 Minneapolis MN 55421-4372 |
Practice Telephone | 6122132370 |
Practice Fax Number | 6122132370 |
Mailing Telephone | 6122132370 |
Mailing Fax Number | 6122132370 |
Enumeration Date | 2010-06-07 |
Last Update Date | 2014-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 54575 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RAILROAD MEDICARE | P01075998 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750722195 | Craig Martin Roelke | Psychologist | 6063 Hudson Rd, Suite 200, Woodbury, MN 55125-4454 | 2013-07-15 |
Street Address |
2603 39TH AVE NE SUITE D-202 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55421-4372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740532340 | Clarus Dermatology Pa | Dermatology | 2603 39th Ave Ne, Suite D-202, Minneapolis, MN 55421-4372 | 2012-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
Find all providers in zip 55421 |
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 |
---|---|---|---|---|
1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
1063731065 | Margareth Pierre-louis | Dermatology | 5000 W 36th St Ste 205, Minneapolis, MN 55416-2760 | 2010-05-31 |
1205841715 | Lynda Sue Kauls | Dermatology | 275 Market St, Suite 215, Minneapolis, MN 55405-1627 | 2006-07-31 |
1437178811 | John Bergman | Dermatology | 825 Nicollet Mall Ste 1227, Minneapolis, MN 55402-2702 | 2006-07-18 |
1134152218 | Maria Kramarczuk Hordinsky | Dermatology | 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455-0356 | 2006-07-09 |
1316986268 | Lynn Glesne | Dermatology | 1425 10th Ave S, Minneapolis, MN 55404-1309 | 2006-06-06 |
1710951199 | Alexia P Knapp | Dermatology | 2220 Riverside Ave - Mail Stop 31700a, Healthpartners Riverside Clinic, Minneapolis, MN 55454-1321 | 2006-02-14 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55421 |
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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.