DAVID JEWISON (NPI# 1003075383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003075383 |
| Entity Type | Individual |
| Full Name | DAVID JEWISON |
| Credential | M.D. |
| Practice Address |
2525 University Ave Se Minneapolis MN 55414-3205 |
| Mailing Address |
720 Washington Ave Se Suite 300 Minneapolis MN 55414-2924 |
| Practice Telephone | 6128840406 |
| Mailing Telephone | 7637826400 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 125.053428 | IL | Allopathic & Osteopathic Physicians |
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
261QM1300X | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA MEDICAL LICENSE NUMBER | 107369 | 01 |
| Street Address |
2525 UNIVERSITY AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457449225 | Elizabeth Smith | Physical Therapist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2006-10-10 |
| 1093371775 | Jeremy O'keefe | Physical Therapist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2019-05-17 |
| 1497139604 | Maile Schwieger | Specialist/Technologist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2015-07-17 |
| 1619383759 | Adam Buchalski | Specialist/Technologist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2014-07-09 |
| 1124434246 | Amanda Williams | Specialist/Technologist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2014-07-09 |
| 1255746459 | Natalie Hahn | Physical Therapist | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2014-06-25 |
| 1225368541 | Fairview Clinics | Clinic/Center | 2525 University Ave Se, Minneapolis, MN 55414-3205 | 2010-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154754141 | Trista Nash | Preventive Medicine | 1387 Willow Creek Ln, Shoreview, MN 55126-8552 | 2013-08-14 |
| 1790284107 | Gabriel Glovatsky | Preventive Medicine | 3900 Bethel Dr, Saint Paul, MN 55112-6902 | 2018-02-12 |
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on DAVID JEWISON.
| 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.