DR. KRISTIN MARIE EIDE


Address: 2020 E 28th St, Minneapolis, MN 55407-1394
Phone: 7087631490

DR. KRISTIN MARIE EIDE (NPI# 1023454717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023454717
Entity Type Individual
Full Name DR. KRISTIN MARIE EIDE
Credential D.O.
Practice Address 2020 E 28th St
Minneapolis
MN 55407-1394
Mailing Address 1 Erie Ct Ste 6160
Oak Park
IL 60302-2510
Practice Telephone 7087631490
Mailing Telephone (708) 763-1490
Enumeration Date 2013-05-21
Last Update Date 2017-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 62115 MN Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 125.062951 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 2020 E 28TH ST
City MINNEAPOLIS
State MN
Zip Code 55407-1394

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942285085 Chrystian Reynaldo Pereira Pharmacist 2020 E 28th St, Minneapolis, MN 55407-1394 2005-12-13
1003427956 Ehren Greer Emter Student in an Organized Health Care Education/Training Program 2020 E 28th St, Minneapolis, MN 55407-1394 2020-08-13
1164041851 Ann Nagle Pharmacist 2020 E 28th St, Minneapolis, MN 55407-1394 2020-04-13
1114551546 Fairview Clinics Clinic/Center 2020 E 28th St, Minneapolis, MN 55407-1394 2020-02-25
1093377756 David Bunch Pharmacist 2020 E 28th St, Minneapolis, MN 55407-1394 2019-07-02
1659937944 Fairview Pharmacy Service LLC Non-Pharmacy Dispensing Site 2020 E 28th St, Minneapolis, MN 55407-1394 2019-05-13
1700345881 Jacquelyn Cameron Student in an Organized Health Care Education/Training Program 2020 E 28th St, Minneapolis, MN 55407-1394 2019-03-18
1316439383 Sara Massey Pharmacist 2020 E 28th St, Minneapolis, MN 55407 2018-06-05
1134616485 Kristin Schwacha Student in an Organized Health Care Education/Training Program 2020 E 28th St, Minneapolis, MN 55407-1394 2018-04-21
1720513880 Elizabeth Ellingwood Rowe Student in an Organized Health Care Education/Training Program 2020 E 28th St, Suite 104, Minneapolis, MN 55407-1394 2017-04-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
Find all providers in zip 55407

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336594498 Jaimi Weber Family Medicine Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 2016-04-26
1376906388 Sama Healthcare Family Medicine 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 2016-03-29
1902209687 Elaine May Family Medicine 2861 Burnham Blvd, Minneapolis, MN 55416-4331 2014-10-08
1952741050 Gregory Olszewski Family Medicine 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 2013-07-03
1881940864 Isaac Milton Engholm Family Medicine 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 2012-07-27
1942572763 Neighborhood Healthsource Family Medicine 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 2012-02-09
1225323371 Yun Chau Bernice Lee Family Medicine 2823 Dean Pkwy, Minneapolis, MN 55416-4401 2011-06-16
1730487208 Specialized Medical Response, LLC Family Medicine 401 Harding St Ne #100, Minneapolis, MN 55413 2011-03-08
1285930065 Allina Health System Family Medicine 3024 Snelling Ave S, Minneapolis, MN 55406-1911 2011-01-27
1013226844 Corban Health Care, Pllc Family Medicine 5141 36th Ave S, Minneapolis, MN 55417-1518 2010-09-28
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55407

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Dataset Information

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.

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