JOHN ALEXANDER NOLL (NPI# 1154358273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154358273 |
| Entity Type | Individual |
| Full Name | JOHN ALEXANDER NOLL |
| Credential | D.O |
| Practice Address |
501 E Nicollet Blvd Suite 100 Burnsville MN 55337-6732 |
| Practice Telephone | 9524604900 |
| Mailing Telephone | 9524604900 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 46597 | MN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
46597 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174603351 | John Thomas Noll | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-10-16 |
| Street Address |
501 E NICOLLET BLVD SUITE 100 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131279 | Samuel Fedo | Rehabilitation Practitioner | 501 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6732 | 2006-04-06 |
| 1174945513 | Patricia Daly Borg | Registered Nurse | 501 E Nicollet Blvd, Ste. 120, Burnsville, MN 55337-6732 | 2014-01-18 |
| 1508050543 | Fairview Clinics | Clinic/Center | 501 E Nicollet Blvd, Ste 120, Burnsville, MN 55337-6732 | 2007-09-04 |
| 1891902193 | Eric Raymond Marvin | Orthotist | 501 E Nicollet Blvd, Ll50, Burnsville, MN 55337-6732 | 2007-05-17 |
| 1659417210 | Shonalie Leville | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2007-01-30 |
| 1689772709 | Saira Mitha | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1649378746 | Barbara J Hansen | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1639277742 | Debra L Magnuson | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1356449474 | Amy L Manolis | Pediatrics | 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337-6732 | 2006-09-20 |
| 1285742916 | Jeffrey Ryan Mathews | Physical Therapist | 501 E Nicollet Blvd, #100, Burnsville, MN 55337-6732 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366671406 | Ryan Patrick Cole | Family Medicine | 1000 W 140th St Unit 201, Burnsville, MN 55337 | 2009-07-10 |
| 1144479627 | Albert Yeo | Family Medicine | 14101 Fairview Dr Ste 300, Burnsville, MN 55337 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239361 | David Ian Smith | Family Medicine | 516 15th Ave Se Ste 190e, Minneapolis, MN 55455-0130 | 2011-05-10 |
| 1306163571 | Maria Christine Ryan | Family Medicine | 15450 Highway 7 Ste 125, Minnetonka, MN 55345-3522 | 2010-04-28 |
| 1659437267 | Peter Swann | Family Medicine | 1400 Corporate Center Curv Ste 200, Eagan, MN 55121-1372 | 2006-12-28 |
| 1275557886 | Odom Sports Medicine, P.a. | Family Medicine | 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 | 2006-07-27 |
| 1790739092 | Ronald Wayne Hanson Jr. | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2006-05-20 |
| 1669423950 | Suzanne S Hecht | Family Medicine | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454-1404 | 2006-05-12 |
| 1295231702 | Rachel Kwiatkowski | Family Medicine | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-04-03 |
| 1255793261 | Arie Degrio | Family Medicine | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2016-03-28 |
| 1437525292 | Orthocure LLC | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2015-08-17 |
| 1871974022 | Mark Cipriani Jr. | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-13 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.