LAURE JO WASCHBUSCH (NPI# 1003839853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003839853 |
| Entity Type | Individual |
| Full Name | LAURE JO WASCHBUSCH |
| Credential | MD |
| Practice Address |
2603 White Bear Ave N Maplewood MN 55109-5110 |
| Practice Telephone | 6516003035 |
| Mailing Telephone | 6516003035 |
| Mailing Fax Number | 6513488783 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MN40196 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 935019500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1737 Beam Ave, Maplewood, MN 551092185 | 6517703320 | 6517703684 |
| Street Address |
2603 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828413 | Christopher E Ott | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2005-11-15 |
| 1437633047 | Lindsay Anne Nelson | Advanced Practice Midwife | 2603 White Bear Ave N, Maplewood, MN 55109 | 2018-09-19 |
| 1043737075 | Rachel Lynn Gates | Advanced Practice Midwife | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2017-08-30 |
| 1073062824 | Ann Mulfinger | Dietitian, Registered | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-09-21 |
| 1750733663 | Jaclyn Shikowsky | Chiropractor | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-07-05 |
| 1326495334 | Rachel Zilles | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-05-19 |
| 1558758144 | Elizabeth Rice | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2015-04-21 |
| 1578969044 | Ilana Lynn Farb | Nurse Practitioner | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2014-11-11 |
| 1477968626 | Erin Elizabeth Folkerts | Chiropractor | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2014-06-26 |
| 1750311320 | Donna D Randall | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2006-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346280336 | Alexander Gudz | Obstetrics & Gynecology | 749 Irvington Ave, Maplewood, NJ 07040-1607 | 2006-06-07 |
| 1275584054 | Donna Smith | Obstetrics & Gynecology | 2040 Milburn Ave, Suite 306, Maplewood, NJ 07040 | 2006-05-15 |
| 1306828413 | Christopher E Ott | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2005-11-15 |
| 1326495334 | Rachel Zilles | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-05-19 |
| 1558758144 | Elizabeth Rice | Obstetrics & Gynecology | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2015-04-21 |
| 1063815173 | Marvelle Maloney | Obstetrics & Gynecology | 264 Boyden Ave, Maplewood, NJ 07040 | 2014-10-02 |
| 1033524160 | Katherine R Brady | Obstetrics & Gynecology | 2945 Hazelwood St, Maplewood, MN 55109 | 2014-06-27 |
| 1467712976 | Donna M. Smith, M.d., P.a. | Obstetrics & Gynecology | 2040 Millburn Ave, Suite 306, Maplewood, NJ 07040-3726 | 2012-05-18 |
| 1538350962 | Megan Lynn Mcellistrem-ramierez | Obstetrics & Gynecology | 1737 Beam Ave, Maplewood, MN 55109-2185 | 2007-08-09 |
| 1669524336 | Yvonne Wright-cadet, Md, PC | Obstetrics & Gynecology | 2130 Millburn Ave, Suite C14, Maplewood, NJ 07040-3728 | 2007-01-16 |
| Find all providers in MAPLEWOOD | ||||
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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.