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ASSOCIATED SKIN CARE SPECIALISTS, PA
NPI 1083659569
Dermatology in Coon Rapids, MN

Active since June 18, 2006CLIA Certified · 2 labs
3833 COON RAPIDS BLVD NW STE 280, COON RAPIDS, MN 55433(763) 571-4000(763) 502-2966 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Associated Skin Care Specialists, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATED SKIN CARE SPECIALISTS, PA (NPI 1083659569) is a healthcare organization registered as a dermatology in Coon Rapids, Minnesota and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Blaine, and lists Amy M Pogorelec, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083659569
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameASSOCIATED SKIN CARE SPECIALISTS, PA
Location Address3833 COON RAPIDS BLVD NW STE 280Coon Rapids, MN 55433-2597
Mailing Address119 14th St Nw Ste 240New Brighton, MN 55112-0007 · (763) 571-4000 · Fax (763) 502-2966
Phone(763) 571-4000
Fax(763) 502-2966
Organization SubpartNo
Authorized OfficialAmy M PogorelecBusiness Office Manager · (763) 502-2937
Enumeration DateJune 18, 2006
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1083659569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
Also ListedSpecialistTaxonomy 174400000X
3833 COON RAPIDS BLVD NW STE 280, Coon Rapids, MN 55433
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Secondary Practice Location 1

Location 111107 Ulysses St NE Ste 200Blaine, MN 55434-4264 · Phone (763) 571-4000 · Fax (763) 502-2966

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0680317

Associated Skin Care Specialists PA -Coon Rapids · Coon Rapids, MN
Active · expires Apr 14, 2027
CLIA Number24D0680317
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorBart T. Endrizzi
Laboratory Phone(763) 576-8927
Laboratory LocationAssociated Skin Care Specialists PA -Coon Rapids3833 Coon Rapids Blvd Suite #280, Coon Rapids, MN 55433
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D0680318

Associated Skin Care Specialists · Blaine, MN
Active · expires Oct 22, 2026
CLIA Number24D0680318
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorSoheil Pakzad
Laboratory Phone(763) 576-9212
Laboratory LocationAssociated Skin Care Specialists11107 Ulysses St NE #200, Blaine, MN 55434
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Associated Skin Care Specialists, PA's NPI number?

The NPI number for Associated Skin Care Specialists, PA is 1083659569. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Associated Skin Care Specialists, PA located?

Associated Skin Care Specialists, PA is located at 3833 Coon Rapids Blvd NW Ste 280, Coon Rapids, MN 55433. The listed phone number is (763) 571-4000.

What is Associated Skin Care Specialists, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Associated Skin Care Specialists, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Associated Skin Care Specialists, PA accept?

Health plans from HealthPartners and Medica list Associated Skin Care Specialists, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Associated Skin Care Specialists, PA was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.