TWIN PORTS DERMATOLOGY INC
NPI 1316348725
Physician Assistant in Duluth, MN

Q: What is Twin Ports Dermatology Inc's NPI number?

The NPI number for Twin Ports Dermatology Inc is 1316348725. It was assigned to this organization in the NPPES registry on September 5, 2014.

Q: What is Twin Ports Dermatology Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 05, 2014CLIA 24D2091791 · Certificate of Compliance

1414 WOODLAND AVE, DULUTH, MN 55803(218) 343-7452 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Twin Ports Dermatology Inc NPPES

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

TWIN PORTS DERMATOLOGY INC (NPI 1316348725) is a healthcare organization registered as a physician assistant in Duluth, Minnesota and active in the NPI registry since September 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 14, 2027 and lists Heather Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1316348725

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameTWIN PORTS DERMATOLOGY INC

Location Address1414 WOODLAND AVEDuluth, MN 55803-2624

Mailing Address1414 Woodland AveDuluth, MN 55803-2624

Phone(218) 343-7452

Organization SubpartNo

Authorized OfficialHeather SmithOwner · (218) 343-7452

Enumeration DateSeptember 5, 2014

✔ NPI 1316348725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1414 WOODLAND AVE, Duluth, MN 55803

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Group Practice 1

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 Medica, Security Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 24D2091791

Twin Ports Dermatology · Duluth, MN

Active · expires Oct 14, 2027

CLIA Number24D2091791

Laboratory TypePhysician Office

Certificate Effective DateOctober 15, 2025

Certificate Expiration DateOctober 14, 2027

Laboratory DirectorJeffrey Samuelson

Laboratory Phone(218) 302-1000

Laboratory LocationTwin Ports Dermatology1414 Woodland Ave, Duluth, MN 55803

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAYLA JEAN OLDS FNP

Family Medicine