NEW LEAF MEDICAL, PLLC


Address: 3622 County Road 101 S, Wayzata, MN 55391-3424
Phone: 9527772355

NEW LEAF MEDICAL, PLLC (NPI# 1316369911) 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) 1316369911
Entity Type Organization
Organization Name NEW LEAF MEDICAL, PLLC
Practice Address 3622 County Road 101 S
Wayzata
MN 55391-3424
Practice Telephone 9527772355
Mailing Telephone 9527772355
Enumeration Date 2014-01-16
Last Update Date 2014-01-16
Authorized Official Name SANDRA KAY WIITA (SOLE SHAREHOLDER)
Authorized Official Telephone 9527772355
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
42376 MN Ambulatory Health Care Facilities

Office Location

Street Address 3622 COUNTY ROAD 101 S
City WAYZATA
State MN
Zip Code 55391-3424

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1992196307 Austin Orthopedics & Sports Medicine Clinic/Center 14051 Burnhaven Dr Ste 100, Burnsville, MN 55337-4400 2015-02-08
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1437567609 Aligned Chiropractic Pa Clinic/Center 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 2014-07-31
1861825093 Active Feet, Foot & Ankle Health Center Clinic/Center 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 2013-08-12
1841538808 White Dandelion Chinese Medicine L.L.C. Clinic/Center 108 3rd St E, Northfield, MN 55057-2050 2013-01-27
1831409234 Princeton Chiropractic Clinic LLC Clinic/Center 501 4th St S Ste 101, Princeton, MN 55371-4754 2010-10-19
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Competitor

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City WAYZATA
Zip Code 55391

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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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