THOMAS W SAMUELSON


Address: 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840
Phone: 6128133600

THOMAS W SAMUELSON (NPI# 1265427918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265427918
Entity Type Individual
Full Name THOMAS W SAMUELSON
Credential M.D.
Practice Address 710 E 24th St
Suite 100
Minneapolis
MN 55404-3840
Mailing Address 9801 Dupont Ave S
Suite 425
Bloomington
MN 55431-3100
Practice Telephone 6128133600
Practice Fax Number 6128133601
Mailing Telephone 6525676092
Mailing Fax Number 9525676176
Enumeration Date 2005-09-19
Last Update Date 2013-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 30302 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 851008300 05
WI 31696600 05

Other Providers THOMAS SAMUELSON

NPI Name Taxonomy Address Enumeration
1376571091 Thomas S Samuelson Orthopaedic Surgery 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1231 2006-06-29

Office Location

Street Address 710 E 24TH ST
SUITE 100
City MINNEAPOLIS
State MN
Zip Code 55404-3840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730185661 Marilee Ann Hanson Specialist 710 E 24th St, Ste 403, Minneapolis, MN 55404-3827 2005-06-24
1376973958 Kaitlin Wha Ran Anderson Advanced Practice Midwife 710 E 24th St, Suite 403, Minneapolis, MN 55404-3840 2013-11-19
1699939496 Michelle Sudyka Loichinger Ophthalmology 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 2008-07-11
1407047566 Mona M Fahmy Optometrist 710 E 24th St, Suite 100, Minneapolis, MN 55404-3840 2007-08-05
1538254289 Endocrine & Diabetes Associates, P.a. Internal Medicine 710 E 24th St, Suite 405, Minneapolis, MN 55404-3840 2006-10-04
1568574697 Jeffrey Victor Christensen Ophthalmology 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 2006-08-31
1619088739 William Pringle Rodman Ophthalmology 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 2006-08-31
1750498465 Minneapolis Medical Eye Clinic, P.a. Ophthalmology 710 E 24th St, Suite 402, Minneapolis, MN 55404-3840 2006-08-25
1689604316 Retina Center Pa Ophthalmology 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 2006-07-05
1912934597 Amanda Rene Stoltman Optometrist 710 E 24th St, Minneapolis, MN 55404-3840 2006-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194290486 Eye Care Associates, Pa Ophthalmology 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 2018-10-12
1093160491 Christina Gillmor Ophthalmology 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 2016-05-04
1861889776 Michael Andrew Jordan Ophthalmology 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 2015-04-17
1811330939 James Layer Ophthalmology 3708 Upton Ave S, Minneapolis, MN 55410-1237 2013-04-08
1023374964 Sasha Strul Ophthalmology 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 2012-04-04
1124310735 Karen Rose Armbrust Ophthalmology 1 Veterans Dr # 2e, Minneapolis, MN 55417-2309 2011-05-15
1679875280 Irving Shapiro Ophthalmology 21 Greenway Gables, Minneapolis, MN 55403-2145 2010-12-02
1841425899 Claris Eye Care & Surgery, P.a. Ophthalmology 710 E 24th St Ste 102, Minneapolis, MN 55404-3810 2009-05-20
1174799357 Alejandra Decanini Mancera Ophthalmology 701 Park Avenue, P7, Suite 200, Minneapolis, MN 55415 2008-05-07
1972699635 Fredericus J. Van Kuijk Ophthalmology 420 Delaware Street Se / Mmc493, 9th Floor Pwb, Minneapolis, MN 55455 2006-10-04
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Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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