MINNESOTA ENDOSCOPY CENTER. LLC (NPI# 1235539180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235539180 |
Entity Type | Organization |
Organization Name | MINNESOTA ENDOSCOPY CENTER. LLC |
Practice Address |
2635 University Ave W Suite100 Saint Paul MN 55114-1270 |
Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
Practice Telephone | 6128711145 |
Practice Fax Number | 6128705491 |
Mailing Telephone | 6128711145 |
Mailing Fax Number | 6128705491 |
Enumeration Date | 2014-08-28 |
Last Update Date | 2014-08-28 |
Authorized Official Name | SCOTT KETOVER (SECRETARY) |
Authorized Official Telephone | 6128705408 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
2635 UNIVERSITY AVE W SUITE100 |
City | SAINT PAUL |
State | MN |
Zip Code | 55114-1270 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053386607 | Cydney Bulger | Nurse Practitioner | 2635 University Ave W, Ste 100, Saint Paul, MN 55114-1270 | 2006-02-17 |
1326578162 | Brianna Jean Barth | Advanced Practice Midwife | 2635 University Ave W, Saint Paul, MN 55114-1270 | 2017-06-14 |
1649651639 | Courtney Jean Moore | Advanced Practice Midwife | 2635 University Ave W, Saint Paul, MN 55114-1270 | 2015-06-15 |
1982946547 | Hyejo Jun | Internal Medicine | 2635 University Ave W, Saint Paul, MN 55114 | 2013-03-21 |
1114223567 | Allina Health System | Clinic/Center | 2635 University Ave W, Suite 100a, Saint Paul, MN 55114-1270 | 2011-02-02 |
1205132651 | Allina Health System | Clinic/Center | 2635 University Ave W, Suite 100b, Saint Paul, MN 55114-1270 | 2011-02-02 |
1437477114 | Sarah Yamaguchi | Internal Medicine | 2635 University Ave W, Suite 160, Saint Paul, MN 55114-1270 | 2010-05-05 |
1265680615 | Sandra L Giovinazzo-yates | Physician Assistant | 2635 University Ave W, Suite 100, Saint Paul, MN 55114-1270 | 2008-08-28 |
1780744763 | Grouphealth Plan Inc | Durable Medical Equipment & Medical Supplies | 2635 University Ave W, Westgate IIi Building, Suite 160, Saint Paul, MN 55114 | 2006-12-11 |
1366465676 | John E Sandgren | Internal Medicine | 2635 University Ave W, Suite 100, Saint Paul, MN 55114-1231 | 2006-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
Find all providers in zip 55114 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447656830 | Xpress Urgent Care Pllc | Clinic/Center | 441 University Ave W Ste 201, Saint Paul, MN 55103-2172 | 2014-11-12 |
1114223567 | Allina Health System | Clinic/Center | 2635 University Ave W, Suite 100a, Saint Paul, MN 55114-1270 | 2011-02-02 |
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1669079992 | Woodbury Surgery Center, LLC | Clinic/Center | 587 Bielenberg Dr Ste 100, Woodbury, MN 55125-4452 | 2020-10-09 |
1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1942760285 | Altru Health System Ambulatory Surgery Centers LLC | Clinic/Center | 400 S Minnesota St Ste B, Crookston, MN 56716-1808 | 2019-03-22 |
1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
1891297925 | Pediatric Center Holdings, LLC | Clinic/Center | 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 | 2018-03-05 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55114 |
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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.