ILBNC, P.A. (NPI# 1023001815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001815 |
| Entity Type | Organization |
| Organization Name | ILBNC, P.A. |
| Other Organization Name | INSTITUTE FOR LOW BACK & NECK CARE |
| Practice Address |
3001 Metro Dr Suite 330 Bloomington MN 55425-4506 |
| Practice Telephone | 9528146600 |
| Practice Fax Number | 9528146700 |
| Mailing Telephone | 9528146600 |
| Mailing Fax Number | 9528146700 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | NICOLE MARIE HILGARDNER (CLINIC OPERATIONS MANAGER) |
| Authorized Official Telephone | 9528146600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 39370BA | 01 |
| MN | PREFERRED ONE | 76900 | 01 |
| MN | 970722100 | 05 |
| Other Name | Type Code |
|---|---|
| Institute for Low Back & Neck Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235529272 | Ilbnc, P.a. | Orthopaedic Surgery | 15700 37th Avenue North, Suite 210, Plymouth, MN 55446-3662 | 2015-01-29 |
| 1447287370 | Ilbnc, P.a. | Clinic/Center | 15700 37th Ave N, Suite 210, Plymouth, MN 55446-3399 | 2006-06-27 |
| Street Address |
3001 METRO DR SUITE 330 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659514008 | Bonnie Ann Plocher | Nurse Practitioner | 3001 Metro Dr, Suite 330, Bloomington, MN 55425-4506 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669609400 | Bloomington Orthopedic Spine Clinic LLC | Orthopaedic Surgery | 2201 W Sudbury Dr, Ste C, Bloomington, IN 47403-3812 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863316 | John G. Stark M.d.p.a. | Orthopaedic Surgery | 825 Nicollet Mall Ste 715, Minneapolis, MN 55402-2613 | 2007-10-31 |
| 1740220466 | Thomas Vincent Rieser | Orthopaedic Surgery | 1950 Curve Crest Blvd W Ste 130, Stillwater, MN 55082-6062 | 2006-06-08 |
| 1598712788 | Glenn Robin Buttermann | Orthopaedic Surgery | 1835 County Road C W Ste 150, Roseville, MN 55113-1343 | 2006-05-31 |
| 1649220849 | Garry M Banks | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2006-05-11 |
| 1114989555 | Sunny S Kim | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-04-03 |
| 1881690493 | Daniel W Hanson | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2005-06-28 |
| 1336765098 | Inspired Spine Surgcenter LLC | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-06-18 |
| 1427686575 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-04-01 |
| 1205481041 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2019-08-08 |
| 1508356619 | Thomas Rieser Md Pllc | Orthopaedic Surgery | 1950 Curve Crest Blvd W Ste 130, Stillwater, MN 55082 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.