DR. ZEKE JORDAN MCKINNEY (NPI# 1316237712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316237712 |
| Entity Type | Individual |
| Full Name | DR. ZEKE JORDAN MCKINNEY |
| Credential | M.D., M.H.I. |
| Practice Address |
1665 Utica Ave S Ste 100 Saint Louis Park MN 55416-3476 |
| Mailing Address |
8170 33rd Ave S Minneapolis MN 55425-4516 |
| Practice Telephone | 9525412500 |
| Mailing Telephone | 9525412500 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
55956 | MN | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
55956 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1665 UTICA AVE S STE 100 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568438885 | Joann R Reed | Ophthalmology | 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416-3476 | 2006-02-27 |
| 1003369737 | Aaron Means | Psychologist | 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416-3476 | 2016-07-29 |
| 1326240508 | Emily L Bannister | Preventive Medicine | 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416-3476 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326240508 | Emily L Bannister | Preventive Medicine | 1665 Utica Ave S Ste 100, Saint Louis Park, MN 55416-3476 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1154731412 | Dr. Margaret Spartz, Pa | Preventive Medicine | 1835 County Road C W Ste 80, Roseville, MN 55113-1343 | 2014-05-07 |
| 1003199068 | Cooper L Rendon | Preventive Medicine | 7635 Addisen Path, Inver Grove Heights, MN 55077-4108 | 2011-09-26 |
| 1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1861670028 | Mark Andrew Ciagne | Preventive Medicine | 11672 Elm Creek Blvd N, Maple Grove, MN 55369-2231 | 2008-02-08 |
| 1508048133 | Kirsten Marie Koos | Preventive Medicine | 8500 Normandale Lake Blvd, Bloomington, MN 55437-3813 | 2007-12-05 |
| 1043406127 | Francis Yogo Ngwa | Preventive Medicine | 627 Aurora Ave, Saint Paul, MN 55104-4887 | 2007-09-21 |
| 1972710739 | Betsy D Buehrer | Preventive Medicine | 3m Center Bldg 220-6w-08, Saint Paul, MN 55144-1000 | 2007-05-17 |
| 1821132598 | Carol Ley | Preventive Medicine | 3m Building # 220-6w-08, Saint Paul, MN 55144-0001 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.