MIDWEST PLASTIC SURGERY, P.A. (NPI# 1013004175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013004175 |
| Entity Type | Organization |
| Organization Name | MIDWEST PLASTIC SURGERY, P.A. |
| Practice Address |
6545 France Ave S Ste 350 Edina MN 55435-2120 |
| Practice Telephone | 9529202600 |
| Practice Fax Number | 9529202668 |
| Mailing Telephone | 9529202600 |
| Mailing Fax Number | 9529202668 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2009-07-10 |
| Authorized Official Name | DR. DAVID F RUEBECK (MANAGING PARTNER) |
| Authorized Official Telephone | 9529202600 |
| Authorized Official Credential | MEDICAL DOCTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 1389 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 25685 | 01 |
| MN | U-CARE | C721 | 01 |
| MN | METROPOLITAN HEALTH PLAN | 221070615 | 01 |
| MN | 579013100 | 05 | |
| ND | 18029 | 05 | |
| MN | BLUE CROSS/BLUE SHIELD | 2M749AD | 01 |
| Street Address |
6545 FRANCE AVE S STE 350 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578670956 | David F Ruebeck | Plastic Surgery | 6545 France Ave S Ste 350, Edina, MN 55435-2120 | 2006-08-23 |
| 1598874778 | Jacqueline A Luong | Plastic Surgery | 6545 France Ave S Ste 350, Edina, MN 55435-2120 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1861501082 | Christopher J Kovanda | Plastic Surgery | 4999 France Ave S Ste 210, Edina, MN 55410-2168 | 2006-08-30 |
| 1578670956 | David F Ruebeck | Plastic Surgery | 6545 France Ave S Ste 350, Edina, MN 55435-2120 | 2006-08-23 |
| 1043222011 | Robert C Wilke | Plastic Surgery | 6525 France Ave S Ste 300, Edina, MN 55435-2177 | 2006-08-11 |
| 1497766471 | Edina Plastic Surgery, Ltd. | Plastic Surgery | 6525 France Ave. S., Suite 300, Edina, MN 55435 | 2006-08-11 |
| 1518985720 | Brian J Kobienia | Plastic Surgery | 7450 France Ave S Ste 220, Edina, MN 55435-4792 | 2006-07-17 |
| 1235575473 | Christine Elyse Stewart | Plastic Surgery | 6525 France Ave S Ste 300, Edina, MN 55435-2177 | 2013-05-15 |
| 1275859423 | Mccue Plastic Surgery, Pa | Plastic Surgery | 7373 France Ave S, Suite 510, Edina, MN 55435-4534 | 2010-04-13 |
| 1003960006 | Allen Lester Vanbeek | Plastic Surgery | 7373 France Ave S, Suite 510, Edina, MN 55435-4534 | 2007-01-23 |
| Find all providers in EDINA | ||||
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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.