YASSER CHEBLI


Address: 3400 W 66th St Ste 290, Edina, MN 55435-2133
Phone: 9529141733

YASSER CHEBLI (NPI# 1366704553) 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) 1366704553
Entity Type Individual
Full Name YASSER CHEBLI
Credential MD
Practice Address 3400 W 66th St Ste 290
Edina
MN 55435-2133
Mailing Address 10961 Club West Pkwy
Blaine
MN 55449-5866
Practice Telephone 9529141733
Mailing Telephone 9529141727
Enumeration Date 2012-06-13
Last Update Date 2020-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 3472740 IL Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
60702 MN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 1st Dr Nw, Austin, MN 559122941 5074337351

Office Location

Street Address 3400 W 66TH ST STE 290
City EDINA
State MN
Zip Code 55435-2133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548269277 Amy Michelle Busker Pharmacist 3400 W 66th St Ste 290, Edina, MN 55435-2133 2005-07-15
1922585983 Bertina Lovine Haug Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2018-07-23
1801373063 Vanessa Kasper Registered Nurse 3400 W 66th St Ste 290, Edina, MN 55435 2018-07-20
1023508439 Sarah Marie Nolan Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435 2018-05-11
1831613603 Bridget Love Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2017-08-02
1558805903 Marlo Inez Dworsky Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-12-05
1538612940 Leann Margaret Krezowski Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-08-02
1023479458 Allison Dillon Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-03-12
1467819045 Jodi Hildebrand Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2016-01-27
1356694079 Rebecca Lynn Lucking Nurse Practitioner 3400 W 66th St Ste 290, Edina, MN 55435-2133 2012-10-18
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Providers in the same zip code

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 Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891174751 Hra-iq PC Family Medicine 4600 W 77th St, #355, Edina, MN 55435-4909 2015-05-26
1346657160 Fairview Health Services Family Medicine 3400 W 66th St, Suite 290, Edina, MN 55435-2111 2014-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942766423 Moments Palliative Care LLC Family Medicine 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 2019-02-20
1588137640 Wayforth Clinical Services LLC Family Medicine 401 Harding St Ne Ste 200, Minneapolis, MN 55413-2801 2019-01-10
1477943421 Optum Medical Services of Colorado, P.C. Family Medicine 13625 Technology Dr, Eden Prairie, MN 55344-2252 2015-01-29
1811139264 Charles D Townes Family Medicine 16 Meadow Ln S, Minneapolis, MN 55416-3403 2009-04-01
1447203187 Ruth O Szajner Family Medicine 701 Park Ave # S5, Minneapolis, MN 55415-1623 2006-05-17
1093702235 Asma Khalid Family Medicine 621 S 4th St, Le Sueur, MN 56058-2203 2005-10-03
1750917985 Marisa L Felker Family Medicine 270 Main St N Ste 300, Stillwater, MN 55082-6788 2020-03-19
1588028161 Joshua M Baruth Family Medicine 200 1st St Sw, Rochester, MN 55905-0001 2016-04-08
1528458486 Optum Medical Services of California, P.C. Family Medicine 13625 Technology Dr, Eden Prairie, MN 55344-2252 2015-01-30
1093131419 Geriatric Services of Minnesota, LLC Family Medicine 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 2014-03-10
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Competitor

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City EDINA
Zip Code 55435

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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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