JAY H TRAVERSE (NPI# 1306807458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306807458 |
| Entity Type | Individual |
| Full Name | JAY H TRAVERSE |
| Credential | MD |
| Practice Address |
800 E 28th St Minneapolis MN 55407-3723 |
| Mailing Address |
920 E 28th St Ste 300 Minneapolis MN 55407-1195 |
| Practice Telephone | 6127753030 |
| Mailing Telephone | 6128633900 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34287 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
34287 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
800 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314765 | Judy Garza | Specialist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2005-05-27 |
| 1568069060 | Brooke Evensen | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-07 |
| 1558968172 | Taiya Brown | Dietitian, Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-06 |
| 1003413188 | Brandy Kozitza | Physical Medicine & Rehabilitation | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-10-02 |
| 1215554522 | Andrea Edwards | Genetic Counselor, MS | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-07-02 |
| 1740804350 | Danielle Krimmer | Registered Nurse | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-05-31 |
| 1225650005 | Kimberly Homan | Speech-Language Pathologist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-14 |
| 1568084630 | J&j Services, Inc | Durable Medical Equipment & Medical Supplies | 800 E 28th St, Minneapolis, MN 55407-3723 | 2020-05-12 |
| 1760011837 | Kayla Calhoun | Physical Therapist | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-04-02 |
| 1831727874 | Steven Thomas Schull | Student in an Organized Health Care Education/Training Program | 800 E 28th St, Minneapolis, MN 55407-3799 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
| 1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
| 1528078458 | Anil K Poulose | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-08-09 |
| 1619931847 | Michael R Mooney | Internal Medicine | 800 E 28th St, Suite H2100, Minneapolis, MN 55407-3723 | 2006-04-14 |
| 1265418420 | Ganeshan Raveendran | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
| 1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
| 1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
| 1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
| 1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
| 1558599712 | Marat Yanavitski | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2009-06-26 |
| 1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1477715530 | Leif C Christianson | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-06-30 |
| 1760657589 | R Todd Drexel | Internal Medicine | 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.