ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
NPI 1417163189
Dermatology in Coon Rapids, MN

NPI Status: Active since May 16, 2007

Contact Information

3960 COON RAPIDS BLVD NW
SUITE 116
COON RAPIDS, MN
ZIP 55433
Phone: (763) 427-8113
Fax: (763) 427-8131

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  • Organization
  • Dermatology

About ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.

This page provides the complete NPI Profile along with additional information for Acne, Skin Disease & Leg Vein Clinic, P.a., a provider established in Coon Rapids, Minnesota operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1417163189 assigned on May 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Theodore Joseph Buselmeier M.d. (President)

NPI
1417163189
Provider Name
ACNE, SKIN DISEASE & LEG VEIN CLINIC, P.A.
Entity Type
Organization
Location Address
3960 COON RAPIDS BLVD NW SUITE 116 COON RAPIDS, MN 55433
Location Phone
(763) 427-8113
Location Fax
(763) 427-8131
Mailing Address
3960 COON RAPIDS BLVD NW SUITE 116 COON RAPIDS, MN 55433
Mailing Phone
(763) 427-8113
Mailing Fax
(763) 427-8131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2007
Last Update Date
08-07-2008
Code Navigator

A dermatologist like Acne, Skin Disease & Leg Vein Clinic, P.a. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THEODORE JOSEPH BUSELMEIER M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(763) 427-8113

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C04943MEDICARE PIN (08)MN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417163189, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 2 + 6 + 6 + 1 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1417163189.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
3960 COON RAPIDS BLVD NW, SUITE 300
COON RAPIDS, MN 55433
Surgery
3960 COON RAPIDS BLVD NW, SUITE 104
COON RAPIDS, MN 55433
Obstetrics & Gynecology
3960 COON RAPIDS BLVD NW, SUITE 101
COON RAPIDS, MN 55433
Urology
3960 COON RAPIDS BLVD NW, SUITE 104
COON RAPIDS, MN 55433
Internal Medicine (Infectious Disease)
3960 COON RAPIDS BLVD NW, SUITE 104
COON RAPIDS, MN 55433
Surgery
3960 COON RAPIDS BLVD NW, SUITE 104
COON RAPIDS, MN 55433
Obstetrics & Gynecology
3960 COON RAPIDS BLVD NW, SUITE101
COON RAPIDS, MN 55433
Nurse Practitioner
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Surgery
3960 COON RAPIDS BLVD NW, SUITE 104
COON RAPIDS, MN 55433
Internal Medicine
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Dentist (Periodontics)
3960 COON RAPIDS BLVD NW, SUITE 213
COON RAPIDS, MN 55433
Internal Medicine
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Pathology (Forensic Pathology)
3960 COON RAPIDS BLVD NW, SUITE LL21
COON RAPIDS, MN 55433
Nurse Practitioner
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Dermatology
3960 COON RAPIDS BLVD NW, SUITE 116
COON RAPIDS, MN 55433
Pathology (Forensic Pathology)
3960 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Dentist (Endodontics)
3960 COON RAPIDS BLVD NW, SUITE 320
COON RAPIDS, MN 55433
Dentist (Endodontics)
3960 COON RAPIDS BLVD NW, SUITE 320
COON RAPIDS, MN 55433
Obstetrics & Gynecology (Gynecologic Oncology)
3960 COON RAPIDS BLVD NW, SUITE 101
COON RAPIDS, MN 55433
Clinic/Center (Oncology, Radiation)
3960 COON RAPIDS BLVD NW, # 311
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417163189, enumerated as an "organization" on May 16, 2007.

The provider is located at 3960 COON RAPIDS BLVD NW SUITE 116 COON RAPIDS, MN 55433 and the phone number is (763) 427-8113.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.