DR. MARIA RAE EVASOVICH (NPI# 1326077611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326077611 |
| Entity Type | Individual |
| Full Name | DR. MARIA RAE EVASOVICH |
| Credential | M.D. |
| Practice Address |
516 Delaware St Se University of Minnesota Physicians Minneapolis MN 55455-0356 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 195 Minneapolis MN 55455 |
| Practice Telephone | 6126265900 |
| Practice Fax Number | 6126251755 |
| Mailing Telephone | 6126265900 |
| Mailing Fax Number | 6126251755 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
44538 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA CHOICE | 17-00865 | 01 |
| MN | HEALTHPARTNERS | HP40310 | 01 |
| CT | CONNETICARE | 037928 | 01 |
| CT | AETNA | 2271271 | 01 |
| IA | 0557439 | 05 | |
| MN | PREFERRED ONE | 1031026 | 01 |
| MN | MEDICA PRIMARY | 17-00026 | 01 |
| CT | HEALTHNET | 046446 | 01 |
| MN | 080920900 | 05 | |
| MN | UCARE | 157405 | 01 |
| MN | ARAZ | 1646982 | 01 |
| WI | 34301200 | 05 | |
| MN | BCBS | 258A9EV | 01 |
| Street Address |
516 DELAWARE ST SE UNIVERSITY OF MINNESOTA PHYSICIANS |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990060 | Anthony J Santiago | Psychiatry & Neurology | 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 | 2005-08-24 |
| 1225592249 | Thomas Bukowski | Registered Nurse | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2019-01-23 |
| 1407344278 | Hooi Pin Chew | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2018-04-27 |
| 1093223786 | Mai E Lor | Technician/Technologist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2018-01-16 |
| 1063866820 | Kelsey Noah | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-04-19 |
| 1467811125 | Kristin Schneller | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-02-23 |
| 1013382472 | Brooke Kaney | Social Worker | 516 Delaware St Se, Clinic 1c, Minneapolis, MN 55455-0356 | 2015-12-09 |
| 1447632682 | Christian Larson | Optometrist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-06-24 |
| 1770970485 | Sarah Maki | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455 | 2015-04-20 |
| 1235525627 | Shanon Renee Harper | Nurse Practitioner | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-04-13 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043478647 | John Patrick Delaney | Surgery | 901 Dartmouth Ave Se, Minneapolis, MN 55414-3103 | 2008-05-30 |
| 1174618623 | John Louis Clark | Surgery | 1veterans Drive, Surgical Service/112, Minneapolis, MN 55417 | 2006-10-03 |
| 1770526857 | Eric Hans Jensen | Surgery | 420 Delaware St Se, Mmc 195, University of Minnesota Phycians, Minneapolis, MN 55455 | 2006-06-14 |
| 1346432572 | Jason William Denbo | Surgery | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-08-12 |
| 1700987906 | Todd Michael Tuttle | Surgery | 424 Harvard St Se, Mmc 195, Minneapolis, MN 55455 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991109 | Anderson Oncologic Services LLC | Surgery | 7450 France Ave S Ste 220, Edina, MN 55435-4792 | 2020-01-23 |
| 1134515554 | Diane Durgan | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-13 |
| 1144512526 | Jennifer Erin Tonneson | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-05-04 |
| 1366523417 | Justin J Baker | Surgery | 280 Smith Ave N, Suite #700, Saint Paul, MN 55102-2424 | 2006-10-17 |
| 1265402200 | Timothy O Wilson | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-24 |
| 1770563975 | Kellie L Mathis | Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-23 |
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. MARIA RAE EVASOVICH.
| 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.