HEALTHEAST MEDICAL RESEARCH INSTITUTE (NPI# 1053620187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053620187 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Other Organization Name | HEALTHEAST ROSEVILLE CLINIC |
| Practice Address |
2680 Snelling Ave N Suite 200 Roseville MN 55113-1876 |
| Practice Telephone | 6513261800 |
| Mailing Telephone | 6513261800 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | DOUG DAVENPORT (CFO) |
| Authorized Official Telephone | 6512322250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HealthEast Roseville Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1801842729 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 6936 Pine Arbor Drive South, Suite 100, Cottage Grove, MN 55016-3007 | 2006-05-25 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1508191552 | Healtheast Medical Research Institute | Internal Medicine | 1700 University Ave W, 6th Floor West, Saint Paul, MN 55104-3727 | 2009-10-08 |
| 1194987735 | Healtheast Medical Research Institute | Hospitalist | 45 West 10th Street, Saint Paul, MN 55102-1004 | 2008-06-25 |
| 1578723383 | Healtheast Medical Research Institute | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-06-16 |
| Street Address |
2680 SNELLING AVE N SUITE 200 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376504217 | Krista Ann Skorupa | Family Medicine | 2680 Snelling Ave N, Ste 200, Roseville, MN 55113-1876 | 2006-03-30 |
| 1396385175 | Bosch Dental Pllc | Clinic/Center | 2680 Snelling Ave N, Roseville, MN 55113-1876 | 2020-01-09 |
| 1679901979 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1876 | 2013-10-23 |
| 1871930503 | Joseph Anthony Molinaro | Audiologist | 2680 Snelling Ave N, #265, Roseville, MN 55113-1876 | 2013-06-04 |
| 1033419965 | Joseph A Molinaro | Hearing Instrument Specialist | 2680 Snelling Ave N, 265, Roseville, MN 55113-1876 | 2010-10-26 |
| 1407041148 | David Joseph Delaney Elsner | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2007-09-06 |
| 1114083235 | Foung Lo | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2007-01-01 |
| 1306948153 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1821 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
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| 1902162845 | Stephanie Wood | Family Medicine | 568 N. Sunrise Avenue, Suite 250, Roseville, CA 95661-9348 | 2012-04-04 |
| 1467740696 | Gilbert R Luceno | Family Medicine | 2110 Professional Dr Ste 120, Roseville, CA 95661-3779 | 2011-07-21 |
| 1255620936 | Nancy Kemp | Family Medicine | 3009 Douglas Blvd, Suite 160, Roseville, CA 95661-3859 | 2011-04-01 |
| 1649586694 | Anna P Abalos Md Inc | Family Medicine | 701 Pleasant Grove Blvd, Suite 125, Roseville, CA 95678-6156 | 2010-08-27 |
| 1528389145 | Shahzad Anwar | Family Medicine | 1478 Stone Point Dr, Suite 290, Roseville, CA 95661-2869 | 2010-06-17 |
| 1740424480 | Diana Libertad Arteaga Falconi | Family Medicine | 2110 Professional Drive, Suite 120, Roseville, CA 95661 | 2009-04-24 |
| 1912144593 | Jennifer Anne Griffin | Family Medicine | 8 Medical Plaza Dr, Roseville, CA 95661-3106 | 2009-01-19 |
| 1922263151 | Erin M. Deane | Family Medicine | 568 N. Sunrise Ave., #250, Roseville, CA 95661 | 2008-07-28 |
| 1669655627 | Nine Family Healthcare | Family Medicine | 18263 E 10 Mile Rd Ste C, Roseville, MI 48066-5805 | 2007-12-13 |
| Find all providers in ROSEVILLE | ||||
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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.