MATTHEW P BOENTE (NPI# 1336116391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336116391 |
Entity Type | Individual |
Full Name | MATTHEW P BOENTE |
Credential | M.D. |
Practice Address |
6545 France Ave S Suite 210 Edina MN 55435-2281 |
Practice Telephone | 9529282900 |
Practice Fax Number | 9529282944 |
Mailing Telephone | 9529282900 |
Mailing Fax Number | 9529282944 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2011-10-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
43370 | MN | Allopathic & Osteopathic Physicians |
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
43370 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BLUE CROSS BLUE SHIELD | 529T1BO | 01 |
WI | 34056200 | 05 | |
MN | MEDICA | 0703893 | 01 |
MN | PREFERREDONE | 1027340 | 01 |
MN | UCARE MN | 151532 | 01 |
MN | 564142000 | 05 | |
MN | HEALTHPARTNERS | HP32764 | 01 |
MN | AMERICA'S PPO | 1282470 | 01 |
Street Address |
6545 FRANCE AVE S SUITE 210 |
City | EDINA |
State | MN |
Zip Code | 55435-2281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
1952847741 | Kc Core Mn Pllc | Chiropractor | 6545 France Ave S, Suite 301, Edina, MN 55435-2131 | 2017-01-17 |
1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356687255 | John E. Savage, M.d., P.a. | Obstetrics & Gynecology | 280 N Smith Ave, Suite 311, St Paul, MN 55102-2424 | 2012-12-20 |
1326204942 | Lori Weinberg | Obstetrics & Gynecology | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2008-08-03 |
1184732406 | Ebrahim Versi | Obstetrics & Gynecology | 6585 City West Pkwy, Eden Prairie, MN 55344-3248 | 2006-08-27 |
1013478775 | Kelly Jean Killian | Obstetrics & Gynecology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-03-26 |
1669825717 | Fiorella Enid Reyes Baez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-13 |
1629459961 | Rachel Mansfield Bramblet | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-12 |
1427445816 | Clarissa Polen-de | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-23 |
1831535558 | Adrianne Rose Mallen | Obstetrics & Gynecology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2013-05-21 |
1639418452 | Lauren Thomaier | Obstetrics & Gynecology | 515 Delaware Street Se, 12th Floor Moos, Division of Gynecologic Oncology, Minneapolis, MN 55455 | 2013-02-14 |
1588922488 | Andrea Smiens O'shea | Obstetrics & Gynecology | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2012-04-27 |
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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.