DR. MADELINE HALLIE GARTNER (NPI# 1194763003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194763003 |
| Entity Type | Individual |
| Full Name | DR. MADELINE HALLIE GARTNER |
| Credential | M.D. |
| Practice Address |
15535 34th Ave N Plymouth MN 55447-1481 |
| Mailing Address |
18315 5th Ave N Plymouth MN 55447-3310 |
| Practice Telephone | 7634731480 |
| Practice Fax Number | 7634731480 |
| Mailing Telephone | 7634731480 |
| Mailing Fax Number | 7634731480 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 33996 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSS | 86G05GA | 01 |
| MN | 854807200 | 05 | |
| MN | PREFERRED ONE | 819471011592 | 01 |
| MN | MEDICA | 1701615 | 01 |
| MN | UCARE | 131146 | 01 |
| MN | HEALTH PARTNERS | HP13342 | 01 |
| Street Address |
15535 34TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548687296 | Pdg, Pa | Clinic/Center | 15535 34th Ave N, Suite 250, Plymouth, MN 55447-1481 | 2014-03-19 |
| 1518274398 | Aisha B. Chaudhry | Family Medicine | 15535 34th Ave N, Plymouth, MN 55447-1585 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760612022 | Robert Christian Andersen | Surgery | 604 Kingsview Ln N, Plymouth, MN 55447-4326 | 2009-07-21 |
| 1518165455 | M K Alchokhachy Inc | Surgery | 143 Court St, Plymouth, MA 02360-3807 | 2007-07-03 |
| 1609893312 | Donald Joseph Faulkner | Surgery | 1919 Lake Ave Ste 102, Ste 102, Plymouth, IN 46563-7830 | 2006-07-17 |
| 1871548438 | Samuel B Vanlandingham | Surgery | 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 | 2006-05-23 |
| 1134105646 | Matthew J Tierney | Surgery | 10 Cordage Park Cir, Suite 227, Plymouth, MA 02360-7318 | 2005-12-16 |
| 1942664008 | James Warren Dammon Jr. | Surgery | 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 | 2016-04-05 |
| 1861823999 | Speare Memorial Hospital | Surgery | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2013-11-27 |
| 1225236151 | Louis A Reines | Surgery | 46 Obery St, Plymouth, MA 02360 | 2007-07-03 |
| 1912076837 | Joseph Edmund Piszczek | Surgery | 72 E Main St, Plymouth, PA 18651 | 2006-11-07 |
| 1881703809 | Brian L Piazza | Surgery | 1919 Lake Ave, Suite 102, Plymouth, IN 46563-7830 | 2006-08-30 |
| Find all providers in PLYMOUTH | ||||
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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.