CHILD NEUROLOGY SOLUTIONS PLLC (NPI# 1205200383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205200383 |
| Entity Type | Organization |
| Organization Name | CHILD NEUROLOGY SOLUTIONS PLLC |
| Practice Address |
360 Sherman St Suite 399, Fort Road Medical Center Saint Paul MN 55102-2564 |
| Practice Telephone | 6513560136 |
| Mailing Telephone | 6513560136 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | DR. BETH GILLES (OWNER) |
| Authorized Official Telephone | 6513560136 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
42885 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
360 SHERMAN ST SUITE 399, FORT ROAD MEDICAL CENTER |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823440 | Walter Paul Gleich | Urology | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 | 2005-10-03 |
| 1730614538 | Sara Welch | Specialist/Technologist | 360 Sherman St, Suite 300, Saint Paul, MN 55102-2564 | 2017-04-29 |
| 1679016497 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 360 Sherman St, Suite 100, Saint Paul, MN 55102-2564 | 2016-11-28 |
| 1346693934 | Jenna Schoenrock | Occupational Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2016-07-19 |
| 1619354305 | Bobbi Jo Mugaas | Orthotist | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2015-05-01 |
| 1295172914 | Stacey Marie Desouza | Occupational Therapist | 360 Sherman St, 470, Saint Paul, MN 55102-2564 | 2013-06-04 |
| 1104163187 | Westlake Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 | 2013-01-10 |
| 1841552296 | Terese Marie Amble | Psychologist | 360 Sherman St, Suite 200, Saint Paul, MN 55102-2564 | 2012-06-12 |
| 1124309372 | Jennifer K Nelson | Physician Assistant | 360 Sherman St, Suite 250, Saint Paul, MN 55102-2564 | 2011-09-01 |
| 1467762823 | Leah Ann Amundson | Physical Therapist | 360 Sherman St, Saint Paul, MN 55102-2564 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962829432 | Jamie Marie Eskuri | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2014-03-23 |
| 1154587863 | Nitin Agarwal | Psychiatry & Neurology | 225 Smith Ave N, Saint Paul, MN 55102-2533 | 2008-08-01 |
| 1134318488 | Nicole Jeanette Williams Doonan | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-10-22 |
| 1740360734 | Beverly S Wical | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-16 |
| 1043309172 | Betty J Ong | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-12 |
| 1467561464 | Timothy Feyma | Psychiatry & Neurology | 200 University Ave E, Office 3344, Saint Paul, MN 55101-2507 | 2006-08-30 |
| 1578571436 | Michael D Frost | Psychiatry & Neurology | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 | 2006-08-04 |
| 1710908447 | Jason S Doescher | Psychiatry & Neurology | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 | 2006-07-21 |
| 1811977481 | Kellie S Sweet | Psychiatry & Neurology | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735750 | Hicham Dabaja | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-06-27 |
| 1154607489 | Janet Elgallab | Psychiatry & Neurology | 2828 Chicago Ave Ste 200, Minneapolis, MN 55407-1544 | 2011-11-01 |
| 1154563401 | Amanda M Moen | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2009-04-01 |
| 1306092655 | Laura Catherine Speltz | Psychiatry & Neurology | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2008-08-18 |
| 1790997393 | Sonya Grace Wang | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2007-05-04 |
| 1306873625 | John Thomas Macdonald | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-06-26 |
| 1407893753 | Richard Jess Kanoff | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-02 |
| 1598712465 | Donald John Chadwick | Psychiatry & Neurology | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2006-05-27 |
| 1952354870 | Armantina Malvarez Espinosa | Psychiatry & Neurology | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6749 | 2006-05-19 |
| 1639138431 | Keith D Larson | Psychiatry & Neurology | 1511 Northway Dr, Suite 202, Saint Cloud, MN 56303-1261 | 2006-03-21 |
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| City | SAINT PAUL |
| Zip Code | 55102 |
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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.