DR. JACOB COOPER DEWEERTH (NPI# 1306265582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306265582 |
| Entity Type | Individual |
| Full Name | DR. JACOB COOPER DEWEERTH |
| Credential | M.D. |
| Practice Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
| Mailing Address |
420 Delaware Street Se B515 Mayo Memorial Building Minneapolis MN 55455 |
| Practice Telephone | 6126726000 |
| Mailing Telephone | 6126249990 |
| Mailing Fax Number | 6159363412 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 65497 | MN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
65497 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2450 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568462570 | Sreejaya Veluvali | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2005-08-01 |
| 1588265375 | Fairview Health Services | General Acute Care Hospital | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-11-06 |
| 1215535927 | Katrina Joelle Christian | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 | 2020-10-14 |
| 1023616208 | Jodi Renee Nelson | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-11 |
| 1912504150 | Pamela Norling | Counselor | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1225635345 | Trevor Ryan Goldsmith | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1215534342 | Michelle L White | Marriage & Family Therapist | 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 | 2020-10-01 |
| 1295341048 | Tobias Zander Donlon | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-17 |
| 1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| 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 | 55454 |
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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.