YASSER CHEBLI (NPI# 1366704553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1000 1st Dr Nw, Austin, MN 559122941 | 5074337351 |
Street Address |
3400 W 66TH ST STE 290 |
City | EDINA |
State | MN |
Zip Code | 55435-2133 |
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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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 |
Find all providers in zip 55435 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
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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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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.