RALPH S BOVARD (NPI# 1194785279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194785279 |
| Entity Type | Individual |
| Full Name | RALPH S BOVARD |
| Credential | MD |
| Practice Address |
205 S Wabasha St Mail Stop 31300a Healthpartners St. Paul Clinic St. Paul MN 55107-1805 |
| Mailing Address |
205 Wabasha St S Attn: Ralph Bovard Healthpartners Saint Paul MN 55107-1805 |
| Practice Telephone | 6512938100 |
| Practice Fax Number | 6512938106 |
| Mailing Telephone | 6512938100 |
| Mailing Fax Number | 6512938106 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
29313 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 019275900 | 05 |
| Street Address |
205 S WABASHA ST MAIL STOP 31300A HEALTHPARTNERS ST. PAUL CLINIC |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55107-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688016 | Vathsala Ganeshan | Pediatrics | 205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 | 2005-12-02 |
| 1164734976 | John R Grittner | Dentist | 205 S Wabasha St, St. Paul, MN 55107-1805 | 2010-07-09 |
| 1134394182 | Patrick S Inveen | Family Medicine | 205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 | 2008-04-29 |
| 1861676025 | Venkata S Vundamati | Family Medicine | 205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 | 2007-12-24 |
| 1073568093 | Asima Yasin | Family Medicine | 205 S Wabasha St, Healthpartners St. Paul Clinic - Mail Stop 31300a, St. Paul, MN 55107-1805 | 2006-05-24 |
| 1265484679 | Michelle E Tomes | Family Medicine | 205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 | 2006-05-16 |
| 1023077658 | Bruce M Johnson | Internal Medicine | 205 S Wabasha St, Healthpartners St. Paul Clinic - Mail Stop 31300a, St. Paul, MN 55107-1805 | 2006-03-22 |
| 1104894260 | Robert N Koch | Internal Medicine | 205 S Wabasha St, Healthpartners St. Paul Clinic - Mail Stop 31300a, St. Paul, MN 55107-1805 | 2006-03-14 |
| 1609844992 | Roger J Cornetto | Internal Medicine | 205 S Wabasha St, Healthpartners St. Paul Clinic - Mail Stop 31300a, St. Paul, MN 55107-1805 | 2006-03-10 |
| 1699749630 | Shelley A Bratholdt | Nurse Practitioner | 205 S Wabasha St, Healthpartners St. Paul Urgent Care, St. Paul, MN 55107-1805 | 2006-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| 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 Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1255317376 | Michael N Goertz | Preventive Medicine | 401 Phalen Blvd - Ms 11503g, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605874 | Healthstat Health Center Allianz | Preventive Medicine | 5901 Golden Hills Dr, Golden Valley, MN 55416-1225 | 2020-09-24 |
| 1073997094 | Healthstat Onsite Clinic-marvin Companies | Preventive Medicine | 802 State Ave Ne, Warroad, MN 56763 | 2015-07-20 |
| 1275931206 | Healthstat On-site Clinic Watlow Winona Mn | Preventive Medicine | 1241 Bundy Blvd, Winona, MN 55987-4873 | 2014-12-08 |
| 1164769527 | Miles Smith Snowden | Preventive Medicine | 3121 W 69th St, Apt 114, Edina, MN 55435-2559 | 2013-01-05 |
| 1629328299 | Healthstat Arkansas/pace Ind.- Pti | Preventive Medicine | 310 Congress St. W, Maple Lake, MN 55358 | 2012-09-11 |
| 1740418144 | Linda Karen Miller | Preventive Medicine | 620 16th St Sw, Rochester, MN 55902-2154 | 2009-06-24 |
| 1033256706 | Larry Ray Zobel | Preventive Medicine | 220 6w 08 3m Ctr, Saint Paul, MN 55144-0001 | 2007-01-31 |
| 1679673321 | Gary B Johnson | Preventive Medicine | 5100 Gamble Dr. Suite 100, Mail Stop 31200a, Healthpartners West Clinic, St. Louis Park, MN 55416-1582 | 2006-09-23 |
| 1821074337 | Robert J Gorman | Preventive Medicine | 5100 Gamble Dr Suite 100-mail Stop 31200a, Healthpartners West Clinic, St Louis Park, MN 55416-1582 | 2005-12-16 |
| 1295719607 | Orrin Mann | Preventive Medicine | 6700 France Ave S Ste 230, Edina, MN 55435 | 2005-11-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RALPH S BOVARD.
| 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.