Associated Skin Care Specialists, PA
NPI 1083659569ActiveOrganization· Dermatology· Coon Rapids, MN
Dermatology in Coon Rapids, Minnesota, registered in NPPES in June 2006. The authorized official on file is Amy M. Pogorelec, Business Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083659569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2006 |
| Last updated in NPPES | Sep 23, 2020 |
| Certified by provider | Sep 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Dermatology providers in Coon Rapids
- 1417163189
- 1528171428
- 1033748884