JOHN WADE FOGARTY (NPI# 1043862345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043862345 |
Entity Type | Individual |
Full Name | JOHN WADE FOGARTY |
Credential | CRNA |
Practice Address |
6500 Excelsior Blvd Minneapolis MN 55426-4700 |
Mailing Address |
311 Kenwood Pkwy Apt 110 Minneapolis MN 55403-1131 |
Practice Telephone | 9529935000 |
Mailing Telephone | 9138000446 |
Enumeration Date | 2019-07-16 |
Last Update Date | 2019-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R244208-0 | MN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033112081 | John Patrick Fogarty | Internal Medicine | 1850 W Arlington Blvd, Greenville, NC 27834-5704 | 2005-05-23 |
1235230921 | John Fogarty | Family Medicine | 1700 Cerrillos Rd, Santa Fe, NM 87505-3554 | 2006-09-26 |
1174557151 | John P Fogarty | Family Medicine | 28 Centre Dr, Milton, VT 05468-3104 | 2006-07-10 |
Street Address |
6500 EXCELSIOR BLVD |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55426-4700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669012845 | Jennifer Depagter | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426 | 2020-01-15 |
1891334793 | Devon E Schuster | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-12-26 |
1700424744 | Jacquelyn Munson Horn | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-12-19 |
1629612221 | Ashley Lexvold | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-11-06 |
1174164685 | Janelle Marie Hawkinson | Registered Nurse | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-10-06 |
1003466012 | Ashley Ann Alguire | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-09-12 |
1154978153 | Christopher Leck | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-08-23 |
1750842175 | Morgan Hensel | Occupational Therapist | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-03-28 |
1932666153 | Rebecca Ann Humbert | Occupational Therapist | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-02-24 |
1285199075 | Kara Becker | Physician Assistant | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2019-02-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578186797 | Margaret Ludwig | Registered Nurse | 3940 4th Ave S, Minneapolis, MN 55409-1615 | 2020-05-21 |
1609406354 | Jenessa Lynn Zarbano | Registered Nurse | 3710 E 34th St Apt 1, Minneapolis, MN 55406-2762 | 2020-01-22 |
1114400397 | Cherise Decorah | Registered Nurse | 2200 California St Ne, Minneapolis, MN 55418-3306 | 2018-09-13 |
1053581348 | Kristina Farrah Scott-mendoza | Registered Nurse | 333 8th St Se Apt 321, Minneapolis, MN 55414-1255 | 2008-03-03 |
1295777290 | Jonathan David Gair | Registered Nurse | 901 W 44th St, Minneapolis, MN 55409-1703 | 2006-06-12 |
1861016560 | Audrey Minogue | Registered Nurse | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-05-29 |
1255951216 | Michael Glenn Petty | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-20 |
1811528060 | Marika Kim | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-01-27 |
1942830245 | Chase Lembeck | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-01-25 |
1386274660 | Melissa Mcneely | Registered Nurse | 308 Harvard St Se, Minneapolis, MN 55455-0353 | 2020-01-25 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55426 |
Please comment or provide details below to improve the information on JOHN WADE FOGARTY.
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.