DR. AGNIESZKA S HATFIELD (NPI# 1174637060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174637060 |
| Entity Type | Individual |
| Full Name | DR. AGNIESZKA S HATFIELD |
| Credential | M.D. |
| Practice Address |
12000 Elm Creek Blvd N Suite 301 Maple Grove MN 55369-7073 |
| Mailing Address |
11850 Blackfoot St Nw Ste 300 Coon Rapids MN 55433-2772 |
| Practice Telephone | 7632006115 |
| Practice Fax Number | 6128080108 |
| Mailing Telephone | 7632006115 |
| Mailing Fax Number | 6128080108 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
K2093 | TX | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
44333 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7581471 | 01 | |
| MA | MEDICARE CORPORATION | C03935 | 01 |
| MN | 180700500 | 05 | |
| MN | BLUE CROSS BLUE SHIELD | 131MOHA | 01 |
| MN | UCARE | 131146 | 01 |
| MN | HEALTH PARTNERS | 92321 | 01 |
| MN | MEDICA | 1300140 | 01 |
| MN | MA | 180700500 | 01 |
| Street Address |
12000 ELM CREEK BLVD N SUITE 301 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-7073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1891295861 | Maple Grove Periodontics and Implant Dentistry | Dentist | 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 | 2018-02-16 |
| 1598111684 | Michael Lao | Counselor | 12000 Elm Creek Blvd N, L70, Maple Grove, MN 55369-7073 | 2016-05-09 |
| 1629410618 | Kimberly Anne Gustafson | Physical Therapist | 12000 Elm Creek Blvd N, Suite #120, Maple Grove, MN 55369-7073 | 2013-07-19 |
| 1487997037 | Kyrsten Ann Johnson | Pediatrics | 12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 | 2013-04-02 |
| 1851662688 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369-7073 | 2012-01-25 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1649401688 | The Midwest C Enter for Reproductive Heatlh, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1184889073 | Jamie L Sledd | Clinic/Center | 12000 Elm Creek Blvd N, Suite 230, Maple Grove, MN 55369-7073 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871704338 | Aesthetic and Plastic Surgery, Pa | Surgery | 12000 Elm Creek Blvd N, Suite 301, Maple Grove, MN 55369-7073 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344810 | Kovanda Aesthetic Surgery | Surgery | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | 2020-07-29 |
| 1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
| 1427248210 | Dr. Jonathan Witzke, Pa | Surgery | 7373 France Ave S Ste 510, Edina, MN 55435-4551 | 2007-07-27 |
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1124046933 | John A Ness | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2006-07-18 |
| 1790778090 | James Philip Wire | Surgery | 3000 Hundertmark Rd, Suite 6, Chaska, MN 55318-1150 | 2005-08-23 |
| 1578569539 | Richard S Werner | Surgery | 6545 France Ave. S, Suite 276, Edina, MN 55435 | 2005-06-24 |
| 1730182270 | George Harold Landis | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2005-05-29 |
| 1851991079 | Omni Medical Center Pllc | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2020-10-27 |
| 1518484930 | Allina Health System | Surgery | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on DR. AGNIESZKA S HATFIELD.
| 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.