Advanced Dermatology Care Medical Cosmetic and Surgery PA
NPI 1912158031ActiveOrganization· Dermatology· Forest Lake, MN
Dermatology in Forest Lake, Minnesota, registered in NPPES in October 2008. The authorized official on file is Olaf J. Rustad, M.D., Dermatologist.
Overview
| NPI | 1912158031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Jan 11, 2010 |
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 |
|---|