IVAYLO KRASTEV (NPI# 1205073848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205073848 |
Entity Type | Individual |
Full Name | IVAYLO KRASTEV |
Credential | MD |
Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
Mailing Address |
14775 Hallmark Dr Apple Valley MN 55124-7400 |
Practice Telephone | 6512322382 |
Enumeration Date | 2009-01-20 |
Last Update Date | 2015-07-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 52814 | MN | Other Service Providers |
Street Address |
559 CAPITOL BLVD |
City | SAINT PAUL |
State | MN |
Zip Code | 55103-2101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
Find all providers in zip 55103 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
1972980852 | Geriatric & Rehabilitation Consultants Ein | Specialist | 360 Sherman St Ste 400, Saint Paul, MN 55102-2425 | 2015-04-30 |
1235482795 | Ronald Dean Linhardt | Specialist | 1 Treeline Dr, Saint Paul, MO 63366-4628 | 2012-10-22 |
1437328861 | Stephanie Dusenberry | Specialist | 1002 Cleveland Ave S, Saint Paul, MN 55116-1866 | 2008-02-29 |
1033390133 | James B. Lannon | Specialist | 2183 Fairmount Ave, Saint Paul, MN 55105-1151 | 2007-11-16 |
1730285354 | Dee Roberts | Specialist | 1430 Englewood Ave, Suite 1, Saint Paul, MN 55104-1951 | 2006-09-15 |
1902910284 | Charles V Burton | Specialist | 514 Saint Peter St Ste 220, Saint Paul, MN 55102-1020 | 2006-08-17 |
1154361434 | Charles S. Kim | Specialist | 631 Cleveland Ave S Ste 5, Saint Paul, MN 55116-1244 | 2006-06-07 |
1619941499 | Theodore J Lillehei | Specialist | 280 Smith Ave N Ste 311, Saint Paul, MN 55102-2465 | 2006-02-16 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55103 |
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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.