My Dermatologist, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

43566 Issued in MN

Legal business name

MY DERMATOLOGIST, PA

Practice address

5565 Blaine Ave
Suite 200
Inver Grove Heights, MN 55076-1238

Phone

(651) 621-8888

Fax

(651) 621-8805

NPI assigned

Feb 17, 2014

Last updated

Aug 27, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malinee Saxena, MDNPI 1811006182

Title

Physician

Phone

(651) 621-8888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malinee Saxena, MD

  • Dermatology Physician
  • Inver Grove Heights, MN
  • NPI 1811006182
  Medicare reassignment Care Compare group NPD Authorized official
• Jane Blowers Moore, M.D.

  • Dermatology Physician
  • Inver Grove Heights, MN
  • NPI 1609985969
  Medicare reassignment Care Compare group NPD
• Christopher Dolan, M.D.

  • Dermatology Physician
  • Bethesda, MD
  • NPI 1497717532

  MN

  Medicare reassignment Care Compare group NPD
• Joy Ann Stutrud, PA

  • Physician Assistant
  • Inver Grove Heights, MN
  • NPI 1619374030
  Medicare reassignment Care Compare group
• Jessica Adeline Satrom, P.A-C

  • Physician Assistant
  • Fargo, ND
  • NPI 1669939658
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1073937793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "SUITE 200",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-621-8888",
            "fax_number": "651-621-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BLAINE AVE",
            "address_2": "SUITE 200",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761238",
            "telephone_number": "651-621-8888",
            "fax_number": "651-621-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DERMATOLOGIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "MALINEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "651-621-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MN",
            "license": "43566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark B Morrow, MD
• Jason Murphy, CNMT
• Murray Counseling
• Laura Rae Murray, OTR/L
• Laurie Lynn Murray, MA, LPCC
• My Sleep Medical LLC
• Travis Myers, D.C.
• Claire Nachtwey
• Megan Nalezny, ORT/L
• Christine Neal, PT

• Dermatology Physician in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.