MINNEAPOLIS RADIATION ONCOLOGY PA (NPI# 1043204233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204233 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS RADIATION ONCOLOGY PA |
| Practice Address |
7401 Metro Blvd Ste 210 Edina MN 55439 |
| Mailing Address |
7401 Metro Blvd Ste 210 Edina MN 55439-3086 |
| Practice Telephone | 9529204915 |
| Practice Fax Number | 9529156091 |
| Mailing Telephone | 9529204915 |
| Mailing Fax Number | 9529156091 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | PATRICIA JEANNE PFOSER (CFO) |
| Authorized Official Telephone | 9529204915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
951 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA PRIMARY | 24-0004 | 01 |
| WI | 32721200 | 05 | |
| MN | 805212300 | 05 | |
| MN | UCARE | 102376 | 01 |
| MN | BLUE CROSS/BLUE SHIELD | 11640MI | 01 |
| Street Address |
7401 METRO BLVD STE 210 |
| City | EDINA |
| State | MN |
| Zip Code | 55439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295759009 | Gregory Evan Meyers | Radiology | 6950 France Ave S Ste 200, Edina, MN 55435-2025 | 2006-07-26 |
| 1215921408 | Mid-minnesota Radiation Oncology, Pa | Radiology | 6950 France Ave S, #200, Edina, MN 55435-2008 | 2005-09-02 |
| 1740272210 | Douglas J Olson | Radiology | Southdale Radiation Therapy Ctr, 6401 France Ave S, Edina, MN 55434 | 2005-08-19 |
| 1225269020 | Raul Fernandez-gonzalez | Radiology | 6950 France Ave S, #200, Edina, MN 55435-2008 | 2009-07-29 |
| 1386872547 | Daniel Alexander Wattson | Radiology | 6401 France Ave S, Edina, MN 55435-2104 | 2009-06-26 |
| 1700870961 | Linda K Wilmarth | Radiology | 6950 France Ave S, Mpls Radiation Oncology, Edina, MN 55435-2025 | 2005-09-02 |
| 1831190412 | Richard F Diaz | Radiology | 6401 France Ave S, Southdale Radiation Therapy, Edina, MN 55435-2104 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031423 | Kai Jiang | Radiology | 617 4th St Sw Apt 3, Rochester, MN 55902-3286 | 2019-06-06 |
| 1508205311 | Somu Suppiah | Radiology | 6500 Excelsior Blvd Dept Of, St Louis Park, MN 55426 | 2013-06-14 |
| 1063858769 | Sumit Sean Sood | Radiology | 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 | 2013-05-21 |
| 1831535863 | Megan Gentry Hodges | Radiology | 1900 Centracare Circle #1600, Centracare Clinic Health Plaza Radiology/oncology, St Cloud, MN 56303-5000 | 2013-05-16 |
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1396909404 | James Lee Ecker | Radiology | 10448 Vera Cruz Dr N, Brooklyn Park, MN 55443-2555 | 2008-07-17 |
| 1275627820 | Xin Wang | Radiology | The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 | 2006-10-03 |
| 1770526188 | Nathan Earl Hilton | Radiology | 215 Ivy St, Brainerd, MN 56401-3000 | 2006-06-14 |
| 1124082136 | Janel A Cox | Radiology | 631 Goodrich Ave, Saint Paul, MN 55105-3522 | 2006-04-14 |
| 1952378044 | Ellen E Bellairs | Radiology | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-03-07 |
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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.