DERMATOLOGY PROFESSIONALS, PA
NPI 1720269426
Clinic/Center in Baxter, MN

NPI Status: Active since November 21, 2007

Contact Information

13359 ISLE DR
STE 3
BAXTER, MN
ZIP 56425
Phone: (218) 454-7546

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About DERMATOLOGY PROFESSIONALS, PA

This page provides the complete NPI Profile along with additional information for Dermatology Professionals, Pa, a provider established in Baxter, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1720269426 assigned on November 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 45453 (MN). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Paul B Lundstrom Md (President)

NPI
1720269426
Provider Name
DERMATOLOGY PROFESSIONALS, PA
Entity Type
Organization
Location Address
13359 ISLE DR STE 3 BAXTER, MN 56425
Location Phone
(218) 454-7546
Mailing Address
13359 ISLE DR STE 3 BAXTER, MN 56425
Mailing Phone
(218) 454-7546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2007
Last Update Date
06-12-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
45453
License State
MN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Gold Standard - HMO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Share - HMO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Silver Standard - HMO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAUL B LUNDSTROM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(218) 454-7546

Reviews for DERMATOLOGY PROFESSIONALS, PA

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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.
1720269426
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740461844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 4 + 6 + 1 + 8 + 4 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1720269426 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568440717DR. KURTIS ALLEN WATERS M.D.
Individual
Otolaryngology13359 ISLE DR SUITE 1
BAXTER, MN 56425
(218) 454-8888
1821180712MRS. NICOLE THERESE MANECKE PA
Individual
Physician Assistant (Medical)13359 ISLE DR SUITE 3
BAXTER, MN 56425
(218) 454-7546
1316471386DR. ETHAN TERRY KRAFT M.D.
Individual
Otolaryngology13359 ISLE DR STE 1
BAXTER, MN 56425
(218) 454-3077
1265583652ADVANCED SPECIALTY ASSOCIATES, LTD
Organization
Otolaryngology (Facial Plastic Surgery)13359 ISLE DR SUITE 1
BAXTER, MN 56425
(218) 454-8888
1699759647 PAUL LUNDSTROM MD
Individual
Dermatology13359 ISLE DR SUITE 3
BAXTER, MN 56425
(218) 454-7546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720269426, enumerated in the NPI registry as an "organization" on November 21, 2007

The provider is located at 13359 Isle Dr Ste 3 Baxter, Mn 56425 and the phone number is (218) 454-7546

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 21, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.