MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
NPI 1811092398
Dermatology in Saint Cloud, MN

Active since September 13, 2006CLIA 24D0908507 · Certificate of Compliance
1510 24TH AVE N, SAINT CLOUD, MN 56303(320) 259-0208(320) 259-0715 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Clinic Of Dermatology Laser And Cosmetic Surgery Pa NPPES

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

MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA (NPI 1811092398) is a healthcare organization registered as a dermatology in Saint Cloud, Minnesota and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 9, 2026 and lists Daniel Kevin Elieff, President/owner, as its authorized official.

NPPES Registry Identity

NPI1811092398
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
Location Address1510 24TH AVE NSaint Cloud, MN 56303-1304
Mailing Address1510 24th Ave NSaint Cloud, MN 56303-1304 · (320) 259-0208 · Fax (320) 259-0715
Fax(320) 259-0715
Organization SubpartNo
Authorized OfficialDaniel Kevin ElieffPresident/owner · (320) 259-0208
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 2, 2014
NPI 1811092398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1510 24TH AVE N, Saint Cloud, MN 56303

Other Identifiers 1

Medicare ID-Type UnspecifiedC08249MN

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

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 24D0908507

Midwest Clinic Of Dermatology · Saint Cloud, MN
Active · expires Sep 9, 2026
CLIA Number24D0908507
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorDaniel K. Elieff
Laboratory Phone(320) 259-0208
Laboratory LocationMidwest Clinic Of Dermatology1510 24th Ave N, Saint Cloud, MN 56303
CLIA data matches this NPI record on: Address Name Phone
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 3

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

Nurse Practitioner
1510 24TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant
1510 24TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1510 24TH AVE N
SAINT CLOUD, MN 56303

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 Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA's NPI number?

The NPI number for Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA is 1811092398. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA located?

Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA is located at 1510 24th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 259-0208.

What is Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA's specialty?

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

Does Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0908507) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA accept?

Health plans from HealthPartners and Medica list Midwest Clinic Of Dermatology Laser And Cosmetic Surgery 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 Midwest Clinic Of Dermatology Laser And Cosmetic Surgery PA was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.