INTEGRA DERMATOLOGY PA
NPI 1366820136
Dermatology in Edina, MN
NPI Status: Active since May 13, 2015
Contact Information
7373 FRANCE AVE S STE 510
EDINA, MN
ZIP 55435
Phone: (612) 767-6000
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 24D2104679
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-25-2026
About INTEGRA DERMATOLOGY PA
This page provides the complete NPI Profile along with additional information for Integra Dermatology Pa, a provider established in Edina, Minnesota operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1366820136 assigned on May 2015. The practitioner's primary taxonomy code is 207N00000X with license number 1944 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mimi Lam Md (Owner)
- NPI
- 1366820136
- Provider Name
- INTEGRA DERMATOLOGY PA
- Entity Type
- Organization
- Location Address
- 7373 FRANCE AVE S STE 510 EDINA, MN 55435
- Location Phone
- (612) 767-6000
- Mailing Address
- 7373 FRANCE AVE S STE 510 EDINA, MN 55435
- Mailing Phone
- (612) 767-6000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2015
- Last Update Date
- 06-22-2021
- Code Navigator
A dermatologist like Integra Dermatology Pa is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1944
- License State
- MN
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1944 | OTHER (01) | MN | MN STATE LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2104679
- Facility Type
- Physician Office
- Certificate Effective Date
- July 26, 2024
- Certificate Expiration Date
- July 25, 2026
- Laboratory Director
- MIMI LAM
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Integra Dermatology Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 2 | 0 | 1 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 2 | 0 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 2 + 0 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1366820136 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427248210 | DR. JONATHAN WITZKE, PA Organization | Surgery (Plastic and Reconstructive Surgery) | 7373 FRANCE AVE S STE 510 EDINA, MN 55435 (952) 893-3000 |
| 1467088849 | ONCOPLASTIC GENERAL SURGERY LLC Organization | Surgery | 7373 FRANCE AVE S STE 510 EDINA, MN 55435 (612) 562-8630 |
| 1992969141 | NORA ELIZABETH BURKART MD Individual | Surgery | 7373 FRANCE AVE S STE 510 EDINA, MN 55435 (612) 562-8630 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366820136, enumerated in the NPI registry as an "organization" on May 13, 2015
The provider is located at 7373 France Ave S Ste 510 Edina, Mn 55435 and the phone number is (612) 767-6000
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D2104679 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on May 13, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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