EDDICTION MEDICINE PLLC (NPI# 1043818354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043818354 |
| Entity Type | Organization |
| Organization Name | EDDICTION MEDICINE PLLC |
| Practice Address |
12018 285th Street Lindstrom MN 55045 |
| Practice Telephone | 2035352620 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | MARC MYER (OWNER) |
| Authorized Official Telephone | 2035352620 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1932488608 | 05 |
| Street Address |
12018 285TH STREET |
| City | LINDSTROM |
| State | MN |
| Zip Code | 55045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780844613 | Deboorah A Gibson | Custodial Care Facility | 28131 Newberry Trail, Lindstrom, MN 55045 | 2008-06-13 |
| 1831356773 | Lake Optometric Vision Pa | Optometrist | 12700 Lake Blvd, Lindstrom, MN 55045 | 2008-05-19 |
| 1861534315 | Vernon Bruce Lovdokken | Optometrist | 12700 Lake Boulevard, Lindstrom, MN 55045 | 2007-02-13 |
| 1922167329 | Robert Donald Waddell Jr. | Chiropractor | 12099 Lake Blvd, Lindstrom, MN 55045 | 2006-12-08 |
| 1366516767 | Kimberley M Johnson Dc | Chiropractor | 12814 Lake Boulevard, Lindstrom, MN 55045 | 2006-11-17 |
| 1225112022 | Lindstrom Family Dentistry LLC | Dentist | 30554 Park Street North, Lindstrom, MN 55045 | 2006-10-25 |
| 1508959164 | Joseph Virga | Chiropractor | 12670 Lake Blvd, Lindstrom, MN 55045 | 2006-10-02 |
| 1609975713 | Four Winds Center for Wellness Inc | Social Worker | 28141 Lakelawn Drive, Lindstrom, MN 55045 | 2006-09-22 |
| 1629079983 | Michael A Hursh | Dentist | 30554 Park St, Lindstrom, MN 55045 | 2005-08-09 |
| 1083615405 | Matthew Struve | Dentist | 30554 Park Street, Lindstrom, MN 55045 | 2005-08-09 |
| Find all providers in zip 55045 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1437799988 | Healthier People LLC | Clinic/Center | 5775 Wayzata Blvd Ste 700, St Louis Park, MN 55416-1233 | 2020-01-13 |
| 1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
| 1831748326 | Center for Autism Awareness and Support LLC | Clinic/Center | 2907 Clearwater Rd Ste 100, Saint Cloud, MN 56301-6191 | 2019-09-06 |
| 1679126668 | Arpai Health Services Pllc | Clinic/Center | 6199 147th Ave Nw, Ramsey, MN 55303-4815 | 2019-07-19 |
| 1760955017 | Ackerman Acupuncture LLC | Clinic/Center | 2331 108th Ln Ne Ste 140, Blaine, MN 55449-5271 | 2019-01-09 |
| 1255808143 | Group Health Plan Inc. | Clinic/Center | 410 Guernsey Ln, Red Wing, MN 55066-7448 | 2018-10-29 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1255815569 | Molly Jones, Cmt | Clinic/Center | 2516 E Beltline, Hibbing, MN 55746-2302 | 2018-09-21 |
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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.