VICTORIA M ELMER (NPI# 1235192709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235192709 |
| Entity Type | Individual |
| Full Name | VICTORIA M ELMER |
| Credential | MD |
| Practice Address |
6043 Hudson Road Suite 220 Woodbury MN 55125 |
| Mailing Address |
550 Main Street Suite 190 New Brighton MN 55112 |
| Practice Telephone | 6519258200 |
| Practice Fax Number | 6519258201 |
| Mailing Telephone | 6123267575 |
| Mailing Fax Number | 6124542430 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 38414 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 351720900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Phalen Blvd-ms 41104a, Healthpartners Specialty Center 401, St Paul, MN 551305302 | 6512547980 | 6512547969 |
| Street Address |
6043 HUDSON ROAD SUITE 220 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1902126352 | Titilayo Adegboyega | Surgery | 321 Crossways Park Dr, Woodbury, NY 11797-2066 | 2010-06-08 |
| 1891939708 | Peter Kuan-teh Lee | Surgery | 321b Crossways Park Dr, Woodbury, NY 11797-2066 | 2009-04-22 |
| 1508041864 | General Vascular Surgical Associates of South Jersey, P.a. | Surgery | 17 W Red Bank Ave, Suite 203, Woodbury, NJ 08096-1630 | 2008-01-07 |
| 1154402154 | Advanced Vascular Associates, Inc. | Surgery | 127 N Broad St, Woodbury, NJ 08096-1718 | 2006-10-17 |
| 1528089018 | Kent Steven Haas | Surgery | 127 N Broad St, Woodbury, NJ 08096-1718 | 2006-07-21 |
| 1609897198 | John Joseph Millili | Surgery | 127 N Broad St, Woodbury, NJ 08096-1718 | 2006-07-21 |
| 1619995594 | Surgical & Critical Care Associates | Surgery | 127 N Broad St, Woodbury, NJ 08096-1718 | 2006-07-18 |
| 1083631733 | Woodbury Surgical Associates | Surgery | 127 N Broad St, Woodbury, NJ 08096-1718 | 2006-07-17 |
| 1457301905 | Judy M Grisard | Surgery | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2006-05-12 |
| 1699776781 | David Lynch | Surgery | 17 W Red Bank Ave, Suite 203, Woodbury, NJ 08096-1630 | 2005-08-10 |
| Find all providers in WOODBURY | ||||
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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.