Market Street Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MARKET STREET DERMATOLOGY, PC

Practice address

275 Market St
Suite 215
Minneapolis, MN 55405-1627

Phone

(612) 746-4144

NPI assigned

Jul 23, 2013

Last updated

Feb 6, 2018By 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

Dr. Lynda Kauls, M.D.NPI 1205841715

Title

President

Phone

(612) 746-4144

Specialties & licenses 1

Addresses

Other names 1

• K & S Dermatology, PC Former legal business name

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 4

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.

• Lynda Sue Kauls, M.D.

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1205841715
  Medicare reassignment Care Compare group NPD Authorized official
• Elyse Henriette Scheuer, M.D.

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1669581930
  Medicare reassignment Care Compare group NPD
• Jill M Moore, MD

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1922260413
  Medicare reassignment NPD
• Eloise Galligan

  • Dermatology Physician
  • Minneapolis, MN
  • NPI 1609336452

  Single Specialty

  NPD

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1851733521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARKET ST",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARKET ST",
            "address_2": "SUITE 215",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051627",
            "telephone_number": "612-746-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "KAULS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-746-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K & S Dermatology, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark K Yamaguchi PC (Pain Consultants of Minnesota)
• Kristen Mark, PHD, MPH
• Melissa C. Mark, M.D.
• Madeline Miles Marker
• Stephen Marker
• Jacob James Markfort
• Leah Michelle Markham, M.S.
• Cynthia Jane Markison, LICSW
• Alan William Markman, M.D.
• Donna J Marko, GNP

• Dermatology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.