DAVID CHARLES EGGERT (NPI# 1003058496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003058496 |
| Entity Type | Individual |
| Full Name | DAVID CHARLES EGGERT |
| Credential | M.D. |
| Practice Address |
560 S Maple St Suite 200 Waconia MN 55387-1733 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 9524422163 |
| Practice Fax Number | 9524425903 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
59120 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102212 | David J Eggert | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-04-14 |
| 1093030520 | David Matthew Eggert | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, 3-north, Rochester, MI 48307-1863 | 2010-03-26 |
| 1821026188 | David Allen Eggert | Orthopaedic Surgery | 2105 E Enterprise Ave, Ste 112, Appleton, WI 54913 | 2006-06-28 |
| 1245223874 | David Eugene Eggert | Surgery | 1100 E Michigan Ave, Suite 310, Jackson, MI 49201-1847 | 2005-08-30 |
| Street Address |
560 S MAPLE ST SUITE 200 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379178 | Cheryl A Hansen | Obstetrics & Gynecology | 560 S Maple St, Suite 130, Waconia, MN 55387-1733 | 2005-10-10 |
| 1790339497 | Dana Lee Cox | Occupational Therapist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-07-31 |
| 1548828700 | Lindsay Marie Getten | Specialist/Technologist | 560 S Maple St, Waconia, MN 55387-1733 | 2019-06-03 |
| 1225422819 | Jeffrey Chrest | Specialist/Technologist | 560 S Maple St, Suite 210, Waconia, MN 55387-1733 | 2015-03-23 |
| 1346656089 | Shawn Johnson | Advanced Practice Midwife | 560 S Maple St, Suite 130, Waconia, MN 55387 | 2014-07-02 |
| 1376955971 | Matthew Ray Bennett | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-05-30 |
| 1043636145 | Meghan M Kolumbus | Specialist/Technologist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2014-03-13 |
| 1043566003 | Laurie K. Grotzinger | Physician Assistant | 560 S Maple St, Suite 400, Waconia, MN 55387-1733 | 2012-07-27 |
| 1013277052 | Benjamin James Stasik | Physician Assistant | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2012-05-24 |
| 1922300979 | Jina M Burman | Physical Therapist | 560 S Maple St, Suite 200, Waconia, MN 55387-1733 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669585816 | Christopher Patrick Meyer | Orthopaedic Surgery | 501 S Maple St, Waconia, MN 55387-1715 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388447 | Erik Therrien | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw Rochester Mn 55905, Rochester, MN 55905-0001 | 2020-08-30 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1902381148 | Richard Kyle Maciver Martin | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-10-02 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1861802019 | Adam Morgan Johannsen | Orthopaedic Surgery | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2014-04-28 |
| 1508156571 | Ryan Robert Fader | Orthopaedic Surgery | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2011-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.