Advanced Dermatology Care Medical Cosmetic and Surgery PA
NPI 1144486978ActiveOrganization· Dermatology· Stillwater, MN
Dermatology in Stillwater, Minnesota, registered in NPPES in July 2008. The authorized official on file is Olaf Jonathan Rustad, MD, Dermatologist President.
Overview
| NPI | 1144486978 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2008 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 1376 | MN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Stillwater
- 1982775029