Twin Ports Dermatology Inc
NPI 1316348725ActiveOrganization· Physician Assistant· Duluth, MN
Physician Assistant in Duluth, Minnesota, registered in NPPES in September 2014. The authorized official on file is Heather Smith, PA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316348725 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2014 |
| Last updated in NPPES | Sep 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) |
|---|
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