DR. KARIMAH Z SHABAZZ (NPI# 1134412802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134412802 |
Entity Type | Individual |
Full Name | DR. KARIMAH Z SHABAZZ |
Credential | DPM |
Practice Address |
6600 Lyndale Ave S Ste 130 Richfield MN 55423-3398 |
Mailing Address |
4354 Queen Ave N Minneapolis MN 55412-1106 |
Practice Telephone | 6127888778 |
Mailing Telephone | 2163949593 |
Mailing Fax Number | 8669917241 |
Enumeration Date | 2011-05-27 |
Last Update Date | 2018-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
985 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1134412802 | 05 | |
OH | 0116788 | 05 | |
OH | ANTHEM BCBS | 00001005944 | 01 |
Street Address |
6600 LYNDALE AVE S STE 130 |
City | RICHFIELD |
State | MN |
Zip Code | 55423-3398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922112515 | Craig R Marsh | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2006-08-19 |
1881135093 | Michael Wallerich | Optometrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2017-03-20 |
1184028193 | Eric Nelson | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2014-10-20 |
1750720876 | Todd Aaron Peabody | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423 | 2013-06-21 |
1225144850 | Eric Wayne Affeldt | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
Find all providers in zip 55423 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689655722 | Michael B Debrule | Podiatrist | 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 | 2005-11-07 |
1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
1518177575 | Onsite Podiatry, Inc. | Podiatrist | 6600 Lyndale Ave S, Suite 130, Richfield, MN 55423-3380 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
1568595783 | Stephen Bryan Wahman | Podiatrist | 1575 Sherwood Rd, Shoreview, MN 55126-8517 | 2007-03-14 |
1760465215 | Minh Chau Margaret Nguyen | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2005-11-29 |
1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
1740544527 | Aaron Daniel Corfield | Podiatrist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-06-27 |
1912286964 | Otter Tail Podiatry P.C. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2011-08-09 |
1760614390 | Alissa Joy Redding | Podiatrist | 417 Franklin St S, Glenwood, MN 56334-1598 | 2009-08-15 |
1699968875 | Michael B Debrule Dpm, Pa | Podiatrist | 301 N 3rd St, Marshall, MN 56258-1328 | 2007-08-22 |
1538234364 | Foot & Ankle Medical Clinic, P.a. | Podiatrist | 1504 White Bear Ave N, Saint Paul, MN 55106-1622 | 2006-11-21 |
1780760868 | David C Peterson | Podiatrist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-10-31 |
Find all providers with the same taxonomy |
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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.