St. Croix Dermatology, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1504 Issued in MN

Legal business name

ST. CROIX DERMATOLOGY, PA

Practice address

1950 Curve Crest Blvd W Ste 100
Stillwater, MN 55082-6062

Phone

(651) 275-0500

NPI assigned

Nov 12, 2006

Organization subpart

No

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

Authorized official

Name

Christine Kay Markus, M.D.NPI 1982775029

Title

President

Phone

(651) 275-0500

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Kay Markus, M.D.

  • Dermatology Physician
  • Stillwater, MN
  • NPI 1982775029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1215008362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CURVE CREST BLVD W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826062",
            "telephone_number": "651-275-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CURVE CREST BLVD W STE 100",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826062",
            "telephone_number": "651-275-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CROIX DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "MARKUS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-275-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lea Spore, RN DC DABCI DACBN
• St Croix Drug Company
• St Croix Oral, Maxillofacial & Implant Surgery, P.a.
• St Croix Vision Center Inc.
• Jennifer St Sauver
• St. Croix Orthopaedics, P.a.
• St. Croix Orthopaedics, P.a.
• St. Croix Preparatory Academy
• St. Croix Radiology Consultants, LLC
• St. Croix Valley Dental, PLLC

• Clinic/Center in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.