LAUREL E CEDERBERG (NPI# 1073588273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073588273 |
| Entity Type | Individual |
| Full Name | LAUREL E CEDERBERG |
| Credential | MD |
| Practice Address |
2500 Como Avenue Mail Stop 31100a St Paul MN 55108-1460 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6516416200 |
| Practice Fax Number | 6516416205 |
| Mailing Telephone | 6516416200 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 39471 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 124023400 | 05 |
| Street Address |
2500 COMO AVENUE MAIL STOP 31100A |
| City | ST PAUL |
| State | MN |
| Zip Code | 55108-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806254 | Rae Ann Williams | Internal Medicine | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-01-24 |
| 1881858439 | Marifel M Fernandez | Family Medicine | 2500 Como Avenue, Ms 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2008-07-14 |
| 1467596148 | Poornima K Kavathekar | Pediatrics | 2500 Como Avenue, Mail Stop 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-16 |
| 1457370918 | Paulose S John | Family Medicine | 2500 Como Avenue, Ms31100a Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2006-07-18 |
| 1184691545 | Diane Cross | Nurse Practitioner | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-03-03 |
| 1891761367 | Mary Jane Krebs Turnbull | Nurse Practitioner | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-24 |
| 1407820251 | Bernt R Christianson | Audiologist | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-16 |
| 1124090295 | Janet Carol Hubbell | Pediatrics | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-03 |
| 1306818596 | Sylvia M Sekhon | Pediatrics | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-02 |
| 1720050834 | Gail M Rudberg | Nurse Practitioner | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923533 | Laura G Hoyt | Pediatrics | 347 North Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 | 2006-02-28 |
| 1669452561 | John R Balfanz | Pediatrics | 233 Grand Ave, St Paul, MN 55102 | 2006-01-18 |
| 1497735419 | Tammi S Plotnik | Pediatrics | 233 Grand Avenue, St Paul, MN 55102 | 2006-01-17 |
| 1043345887 | Sarah M Frenning | Pediatrics | 2500 Como Avenue - Mail Stop 31100a, Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-22 |
| 1467596148 | Poornima K Kavathekar | Pediatrics | 2500 Como Avenue, Mail Stop 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-16 |
| 1356420384 | Susan C Goodale | Pediatrics | 393 N Dunlap St, Suite 300, St Paul, MN 55104 | 2006-11-02 |
| 1225132566 | Childrens Health Care | Pediatrics | 345 North Smith Avenue, Childrens Specialty Clinics Stpl, St Paul, MN 55102 | 2006-09-08 |
| 1487767018 | Phillip M Kibort | Pediatrics | 347 North Smith Avenue, Mail Stop 70 501 Childrens Hospitals and Clinics of Min, St Paul, MN 55102 | 2006-08-17 |
| 1134174717 | Kimberly K Rathmann | Pediatrics | 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104-4621 | 2006-05-23 |
| 1275590762 | Carolyn J Levitt | Pediatrics | 347 North Smith Avenue, 401, Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-04-27 |
| Find all providers in ST PAUL | ||||
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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.