CRYSTAL ANN MALM (NPI# 1063656452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063656452 |
| Entity Type | Individual |
| Full Name | CRYSTAL ANN MALM |
| Credential | CST |
| Practice Address |
6545 France Ave S Suite 160 Edina MN 55435-2131 |
| Mailing Address |
701 25th Ave S Suite 505 Minneapolis MN 55454-1513 |
| Practice Telephone | 9528350750 |
| Practice Fax Number | 9528350662 |
| Mailing Telephone | 6124552008 |
| Mailing Fax Number | 6124552009 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6545 FRANCE AVE S SUITE 160 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| 1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
| 1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
| 1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
| 1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
| 1952847741 | Kc Core Mn Pllc | Chiropractor | 6545 France Ave S, Suite 301, Edina, MN 55435-2131 | 2017-01-17 |
| 1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
| 1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
| 1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518019389 | Kathleen Gail Rajek | Specialist/Technologist, Other | 6405 France Ave S Ste W400, Edina, MN 55435-2192 | 2007-01-18 |
| 1164852554 | Sara Mary Fatland | Specialist/Technologist, Other | 4010 W 65th St, Edina, MN 55435-1706 | 2013-11-21 |
| 1538311105 | Diane Carol Kaus | Specialist/Technologist, Other | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2008-10-15 |
| 1265624449 | Todd M Boyce | Specialist/Technologist, Other | 6545 France Ave S, Suite 160, Edina, MN 55435-2131 | 2007-08-13 |
| 1629284351 | Shannon J Mcguire | Specialist/Technologist, Other | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2007-05-16 |
| 1326113028 | Maria Cristina Ramos | Specialist/Technologist, Other | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-11-21 |
| 1033212584 | Jennifer Ann Goudy | Specialist/Technologist, Other | 3250 W 66th St, Suite 100, Edina, MN 55435-2528 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700117207 | Kristi Laine Kornder | Specialist/Technologist, Other | 1601 St Francis Ave, Shakopee, MN 55379 | 2010-01-22 |
| 1699882548 | Metro First Assistants, Inc. | Specialist/Technologist, Other | 5130 Holly Ln N Unit 3, Plymouth, MN 55446-1773 | 2006-08-24 |
| 1578580643 | Lu Ann Runkle | Specialist/Technologist, Other | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2006-07-16 |
| 1376529149 | Benjamin N Quintero | Specialist/Technologist, Other | 4305 Dunrovin Ln, Eagan, MN 55123-1760 | 2005-12-22 |
| 1588646970 | Bruce Edward Hertzenberg | Specialist/Technologist, Other | 5130 Holly Ln N, #3, Plymouth, MN 55446-1772 | 2005-11-19 |
| 1902396799 | Kristi Ann Gingras | Specialist/Technologist, Other | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2018-05-16 |
| 1386086502 | Roberta Amber Bolitho | Specialist/Technologist, Other | 1000 W 140th St, Suite 201, Burnsville, MN 55337-4480 | 2013-07-30 |
| 1033384813 | Nicole Marie Yohn | Specialist/Technologist, Other | 6465 Wayzata Blvd, Suite 900, St Louis Park, MN 55426-1728 | 2008-04-23 |
| 1528251626 | Gerald Boyd Nelson Jr. | Specialist/Technologist, Other | 1555 Northway Dr, Saint Cloud, MN 56303-4555 | 2007-08-22 |
| 1528180007 | Lorri Elizabeth Underwood | Specialist/Technologist, Other | 501 S Maple St, Waconia, MN 55387-1715 | 2007-04-04 |
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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.