Dr. Jeffrey Neil Samuelson, M.D.
Dr. Jeffrey Neil Samuelson is a MOHS-Micrographic Surgery Physician provider (Dermatology) practicing in Duluth, MN, registered in the NPPES registry with NPI 1407912678 since 2006. The credential MD stands for Doctor of Medicine. Practices at Twin Ports Dermatology Inc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407912678 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Jeffrey Neil Samuelson |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1414 WOODLAND AVE, Duluth, MN, 55803 |
| Phone | 2183021000 |
| Enumeration date | 2006-12-29 |
| Last updated in NPPES | 2020-10-13 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Secondary | 40515 | MN |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Primary | 40515 | MN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 860217400 | Medicaid | MN | — |
Copy-ready billing details
Provider: Jeffrey Samuelson, M.D. NPI: 1407912678 Taxonomy: 207ND0101X (MOHS-Micrographic Surgery Physician) Address: 1414 WOODLAND AVE, Duluth, MN, 55803
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316348725 | Twin Ports Dermatology Inc | Organization | Physician Assistant | Duluth, MN |
| 1104340736 | Kaitlyn Bhoopal | Individual | Family Nurse Practitioner | Duluth, MN |
| 1639630478 | Amy Larson | Individual | Family Nurse Practitioner | Duluth, MN |
| 1023746914 | Kayla Olds | Individual | Family Medicine Physician | Duluth, MN |
| 1356117337 | Rikki Coldagelli | Individual | Family Nurse Practitioner | Duluth, MN |
Verify this record
Cross-check NPI 1407912678 against the authoritative CMS record: view Dr. Jeffrey Neil Samuelson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-10-13.