MARK STUCKEY (NPI# 1265475263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265475263 |
| Entity Type | Individual |
| Full Name | MARK STUCKEY |
| Credential | MD |
| Practice Address |
516 Delaware Street Se Ump Pm&r Clinic Minneapolis MN 55455 |
| Mailing Address |
720 Washington Ave Se University of Minnesota Physicians Minneapolis MN 55414 |
| Practice Telephone | 6128840649 |
| Mailing Telephone | 6128840649 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 33411 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417378662 | Mark Stuckey | Behavioral Analyst | 6650 E Russell Rd # R, Las Vegas, NV 89122-8359 | 2013-12-13 |
| 1467468371 | Mark Nolan Stuckey | Dentist | 3550 Briarfield Blvd, Suite 100, Maumee, OH 43537-8916 | 2006-07-31 |
| 1386692234 | Mark E Stuckey | Chiropractor | 109 Church St, O Fallon, MO 63366-2894 | 2006-05-04 |
| Street Address |
516 DELAWARE STREET SE UMP PM&R CLINIC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193083 | Daniel James Guillaume | Neurological Surgery | 516 Delaware Street Se, Ump Neurosurgery Clinic, Minneapolis, MN 55455 | 2005-09-06 |
| 1194042689 | Amy Ann Mrazek | Surgery | 516 Delaware Street Se, Pwb 11-145e, Mmc 195, Minneapolis, MN 55455 | 2010-04-23 |
| 1932340213 | Daniel Joshua Steinberger | Radiology | 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455 | 2009-03-16 |
| 1518129071 | Torfi Thorkell Hoskuldsson | Surgery | 516 Delaware Street Se, Ump Surgery Clinic, Minneapolis, MN 55455-0356 | 2008-06-26 |
| 1659407708 | Deanna G.k. Teoh | Obstetrics & Gynecology | 516 Delaware Street Se, Women's Health Center, Minneapolis, MN 55455 | 2007-02-25 |
| 1295877702 | Kelly Renee Dietz | Radiology | 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455-0341 | 2007-02-12 |
| 1417031279 | Carrie Kissling | Registered Nurse | 516 Delaware Street Se, Pwb Third Floor, Clinic 3b, Minneapolis, MN 55455 | 2006-10-25 |
| 1295819498 | Anna Petryk | Pediatrics | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
| 1972687366 | Jonathan I Ravdin | Internal Medicine | 516 Delaware Street Se, Pwb Sixth Floor, Clinic 6b, Minneapolis, MN 55455 | 2006-10-24 |
| 1588748818 | Michael J Potegal | Clinical Neuropsychologist | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700248861 | Ryan Ross Childs | Anesthesiology | 500 Se Harvard St, University of Minnesota Medical Center - East Bank, Minneapolis, MN 55455-0363 | 2016-03-27 |
| 1962720250 | Matthew Christian Werpy | Anesthesiology | 4824 E 53rd St, #212, Minneapolis, MN 55417-5001 | 2010-05-11 |
| 1881838175 | Chad A Cutshall | Anesthesiology | 420 Delaware St. Se, B-515 Mayo Memorial Bldg, University of Minnesota - Department of Anesthesiology, Minneapolis, MN 55455 | 2009-04-30 |
| 1457579203 | Tory L Mcgrath | Anesthesiology | 920 E 28th St Ste 480, Minneapolis, MN 55407-1185 | 2007-04-24 |
| 1255423349 | Joseph Arthur Wels | Anesthesiology | Va Med. Ctr. Dept. of Anes. 112-a, One Veteran's Drive, Minneapolis, MN 55417-2309 | 2006-09-28 |
| 1285669010 | Michael Scott Sherman | Anesthesiology | 1766 Emerson Ave S, Minneapolis, MN 55403-2908 | 2006-07-11 |
| 1801830005 | Ioanna Apostolidou | Anesthesiology | 420 Delaware Street, Univ. of Mn Physicians B-515 Mayo Memorial Building, Minneapolis, MN 55455 | 2006-06-16 |
| 1598708265 | James William Schlimmer | Anesthesiology | 701 Park Avenue, Hennepin County Medical Center, Minneapolis, MN 50415 | 2006-06-13 |
| 1487692489 | John F Capacchione | Anesthesiology | 420 Delaware St Se, B515 Mayo Memorial Bldg, Mmc294, University of Minnesota, Department of Anesthesiology, Minneapolis, MN 55455 | 2006-06-02 |
| 1861439028 | Mark A Eggen | Anesthesiology | B-515 Mayo Memorial Bldg 294, 420 Delaware St. Se, Minneapolis, MN 55455 | 2006-05-31 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.