ELEVATED HEALTH CENTER (NPI# 1033526538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033526538 |
Entity Type | Organization |
Organization Name | ELEVATED HEALTH CENTER |
Practice Address |
10705 Town Square Dr Ne Ste 220 Blaine MN 55449-8184 |
Practice Telephone | 6512161997 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-07-16 |
Authorized Official Name | DR. DAVID OOMMEN (DOCTOR/OWNER) |
Authorized Official Telephone | 6512161997 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
5551 | MN | Chiropractic Providers |
Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
5551 | MN | Chiropractic Providers |
Street Address |
10705 TOWN SQUARE DR NE STE 220 |
City | BLAINE |
State | MN |
Zip Code | 55449-8184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467415125 | Jennifer S Auge | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-04-11 |
1154796761 | Philip John Oommen | Chiropractor | 10705 Town Square Dr Ne, Suite 220, Blaine, MN 55449-8184 | 2015-12-08 |
1245606961 | Anne Marie Lillyblad | Registered Nurse | 10705 Town Square Dr Ne, Ste 100, Blaine, MN 55449-8184 | 2015-08-17 |
1497151955 | Derek Authier | Massage Therapist | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2014-11-11 |
1760730980 | Kristen Emily Lewicki | Nurse Practitioner | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2012-08-20 |
1467683755 | Amy Joan Lokensgard | Psychologist | 10705 Town Square Dr Ne, Ste 100, Blaine, MN 55449 | 2009-08-04 |
1962661793 | Sally S Leitch | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2008-06-06 |
1285891135 | Catherine Anne Martin | Registered Nurse | 10705 Town Square Dr Ne, Blaine, MN 55449-8184 | 2008-05-19 |
1265544282 | Kathleen Wai Gern Woo-rippe | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-08-31 |
1255342242 | Mark A Scheible | Family Medicine | 10705 Town Square Dr Ne, Suite 100, Blaine, MN 55449-8184 | 2006-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
Find all providers in zip 55449 |
Taxonomy Code | 111NP0017X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Pediatric Chiropractor |
The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619272630 | Natural Living Chiropractic LLC | Chiropractor | 4827 W 123rd St, Savage, MN 55378-1364 | 2011-01-22 |
1649506528 | Erin Marie Anderson | Chiropractor | 4110 Minnehaha Ave, Minneapolis, MN 55406-3340 | 2009-10-27 |
1447481601 | Sara Jane Curell | Chiropractor | 108 N Saint Paul Ave, Fulda, MN 56131-9401 | 2009-08-05 |
1578799870 | Child and Family Chiropractic Center, LLC | Chiropractor | 4444 W. 76th St., Suite 100, Edina, MN 55435 | 2009-06-02 |
1205488244 | Joyce Cundiff | Chiropractor | 8441 Wayzata Blvd Ste 370, Minneapolis, MN 55426-1386 | 2019-07-10 |
1679940712 | Flynn Brown Chiropractic, Sc | Chiropractor | 1405 78th St Ste 100, Victoria, MN 55386-9723 | 2015-08-24 |
1669866968 | Tara Carlson | Chiropractor | 700 Twelve Oaks Center Dr, Suite 734, Wayzata, MN 55391-4401 | 2015-03-24 |
1285076950 | Seasons Family Chiropractic | Chiropractor | 8425 Seasons Pkwy, Suite 104b, Woodbury, MN 55125-4392 | 2013-07-23 |
1124386172 | Mallori Beth Dombrock | Chiropractor | 21450 Highway 7, Excelsior, MN 55331-7205 | 2012-04-27 |
1770849929 | Stacey Roth | Chiropractor | 1906 30th Ave S, Moorhead, MN 56560-5210 | 2012-04-02 |
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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.