MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A. (NPI# 1063865772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063865772 |
| Entity Type | Organization |
| Organization Name | MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A. |
| Practice Address |
4465 White Bear Pkwy Suite 2 White Bear Lake MN 55110-7623 |
| Practice Telephone | 6516530062 |
| Practice Fax Number | 6516530288 |
| Mailing Telephone | 6516530062 |
| Mailing Fax Number | 6516530288 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | DR. MATTHEW W ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6516530062 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 46328 | MN | Ambulatory Health Care Facilities |
| Street Address |
4465 WHITE BEAR PKWY SUITE 2 |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-7623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150877 | Aalfa Family Practice Pa | Family Medicine | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7626 | 2005-08-09 |
| 1578921714 | Sarah Slattery | Physician Assistant | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2016-02-02 |
| 1407157902 | Groves Physical Therapy | Clinic/Center | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2010-11-15 |
| 1891980819 | Lauren Loberg | Physical Therapist | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2007-09-12 |
| 1285722421 | Sara L Shupe | Physical Therapist | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2006-10-11 |
| 1467540583 | Joseph K Wavra | Physical Therapist | 4465 White Bear Pkwy, White Bear Lake, MN 55110-7623 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1316559552 | Amiot Spine Care, Pllc | Clinic/Center | 1430 Highway 96 E, White Bear Lake, MN 55110-3653 | 2020-08-19 |
| 1063834562 | Total Family Chiropractic LLC | Clinic/Center | 1245 Gun Club Rd, Suite 102, White Bear Lake, MN 55110-3379 | 2014-01-17 |
| 1639474612 | White Bear Health Mart Pharmacy LLC | Clinic/Center | 2008 County Road E E, White Bear Lake, MN 55110-7333 | 2011-01-21 |
| 1184939654 | Lundstrom Chiropractic Centers, Inc. | Clinic/Center | 4801 Hwy 61, #100, White Bear Lake, MN 55110 | 2010-08-09 |
| 1881839223 | Lundstrom Chiropractic Centers, Inc. | Clinic/Center | 4801 Highway 61 N, Suite 100, White Bear Lake, MN 55110-2737 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A..
| 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.