ALLINA HEALTH SYSTEM (NPI# 1336495068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336495068 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | WESTHEALTH EMERGENCY PROFESSIONAL SERVICES |
| Practice Address |
2855 Campus Dr Plymouth MN 55441-2649 |
| Practice Telephone | 7635777160 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | RICHARD MAGNUSON (CFO) |
| Authorized Official Telephone | 6122621020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WestHealth Emergency Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
| Street Address |
2855 CAMPUS DR |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171820 | Terry W. Hood | Neurological Surgery | 2855 Campus Dr, Ste 570, Plymouth, MN 55441-2660 | 2005-06-01 |
| 1891309092 | Bridget Pauline Williams | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2020-09-04 |
| 1093277238 | Megan Hickenbottom | Social Worker | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2019-04-05 |
| 1831670470 | Stephanie Michelle Walek | Pharmacist | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2018-08-22 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1457741092 | Narges Golgol | Physician Assistant | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2015-02-04 |
| 1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
| 1477828515 | Vedavathi Ramesh Bellamkonda-athmaram | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2012-03-21 |
| 1568739043 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| 1831466317 | Allina Health System | Clinic/Center | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1407110174 | Mark Travis Hemming | Emergency Medicine | 46920 N Territorial Rd, Plymouth, MI 48170-3067 | 2012-06-27 |
| 1194804179 | Vidvud Valdmanis | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1013096098 | Douglas Mcvicar | Emergency Medicine | 16 Hospital Road Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1548349533 | Alex G. Medlicott | Emergency Medicine | 16 Hospital Road, Speare Memorial Hospital, Emergency Medicine Department, Plymouth, NH 03264 | 2006-11-02 |
| 1285672576 | Charles D Schaub IIi | Emergency Medicine | 275 Sandwich Street, Jordan Hospital, Plymouth, MA 02360 | 2006-06-02 |
| 1275570459 | Patricia E Sullivan | Emergency Medicine | 275 Sandwich St., Jordan Hospital, Plymouth, MA 02360 | 2006-05-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| 1770558264 | Mauricio E Palencia | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2006-02-20 |
| 1417937491 | Christopher M Callahan | Emergency Medicine | 14700 28th Ave N Ste 25, Plymouth, MN 55447 | 2006-01-18 |
| Find all providers in PLYMOUTH | ||||
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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.