MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI# 1114430089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114430089 |
| Entity Type | Organization |
| Organization Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
| Practice Address |
6025 Lake Rd Ste 200 Woodbury MN 55125-1710 |
| Mailing Address |
2550 University Ave W Ste 110n Saint Paul MN 55114-2001 |
| Practice Telephone | 6519996982 |
| Mailing Telephone | 6516025335 |
| Mailing Fax Number | 6516659799 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | PAMELA ANN POST (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6516025311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123697 | Minnesota Oncology Hematology, Pa | Radiology | 1580 Beam Ave, Saint Paul, MN 55109-1127 | 2020-01-08 |
| 1598305427 | Minnesota Oncology Hematology, Pa | Radiology | 345 Sherman St Ste 100, Saint Paul, MN 55102-2401 | 2020-01-08 |
| 1881130417 | Minnesota Oncology Hematology, Pa | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2017-01-06 |
| 1619111705 | Minnesota Oncology Hematology, Pa | Dietitian, Registered | 11850 Blackfoot Nw, Suite 100, Coon Rapids, MN 55433-2569 | 2009-04-21 |
| 1356585442 | Minnesota Oncology Hematology, Pa | Internal Medicine | 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432 | 2009-04-21 |
| 1447409834 | Minnesota Oncology Hematology, Pa | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2008-09-10 |
| 1851569909 | Minnesota Oncology Hematology, Pa | Physician Assistant | 6363 France Ave S, Suite 200, Edina, MN 55435-2129 | 2008-02-12 |
| 1609911205 | Minnesota Oncology Hematology, Pa | Dietitian, Registered | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 | 2007-02-21 |
| 1447394424 | Minnesota Oncology Hematology, Pa | Dietitian, Registered | 560 S Maple St, Suite 100, Waconia, MN 55387-1760 | 2007-02-16 |
| 1467595868 | Minnesota Oncology Hematology, Pa | Nurse Practitioner | 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6749 | 2007-02-15 |
| Street Address |
6025 LAKE RD STE 200 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619956315 | Andrea M.t. Gerber | Nurse Practitioner | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2006-01-11 |
| 1730720509 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2019-10-03 |
| 1982172755 | Andrea Combs | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2018-11-09 |
| 1841724291 | Michael Jenson | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2017-04-12 |
| 1902292733 | Jacquelyn Marie Gonka-griffo | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2015-04-08 |
| 1609294693 | Spencer Thomas Hart | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2014-04-07 |
| 1588924096 | Olga Povcher | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2012-05-18 |
| 1558637454 | Christopher Sefein Atalla | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2012-03-26 |
| 1932494630 | Christina A Godwin | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2011-06-10 |
| 1922207802 | Melanie Jean Most | Physician Assistant | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2007-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396981668 | Michael W Rosen | Internal Medicine | 32 Mackay Farm Rd, Woodbury, CT 06798-2509 | 2008-12-17 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1093760290 | Girum L Lemma | Internal Medicine | 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 | 2006-05-24 |
| 1336120211 | Bruce Ira Kappel | Internal Medicine | 40 Crossways Park Dr, Ste 103, Woodbury, NY 11797-2036 | 2005-11-08 |
| 1508857772 | Nancy Nan Szu Sun | Internal Medicine | 40 Crossways Park Drive, Woodbury, NY 11797-2036 | 2005-11-04 |
| 1255338216 | Oncology and Hematology Associates | Internal Medicine | 17 W Red Bank Ave, Suite 101, Woodbury, NJ 08096-1630 | 2005-07-06 |
| 1497062400 | Margarita Yarovikova | Internal Medicine | 40 Crossways Park Dr, Suite 103, Woodbury, NY 11797-2036 | 2010-09-13 |
| 1710179981 | The Center for Cancer & Hematologic Disease | Internal Medicine | 608 N Broad St, Suite 300, Woodbury, NJ 08096-1794 | 2007-08-13 |
| 1174715247 | Josy Mathew | Internal Medicine | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2007-08-13 |
| 1275619694 | Lori Ann Attivissimo | Internal Medicine | 99 Sunnyside Blvd, Woodbury, NY 11797-2901 | 2006-10-27 |
| Find all providers in WOODBURY | ||||
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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.