MELISSA ELIZABETH BRUNSVOLD (NPI# 1407073224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407073224 |
| Entity Type | Individual |
| Full Name | MELISSA ELIZABETH BRUNSVOLD |
| Credential | M.D. |
| Practice Address |
516 Delaware Street Se, Clinic 1e Ump Surgery Clinic Minneapolis MN 55455-0356 |
| Mailing Address |
420 Delaware St Se Mmc 195 Minneapolis MN 55455-0341 |
| Practice Telephone | 6126245915 |
| Practice Fax Number | 6126241473 |
| Mailing Telephone | 6126261999 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 54056 | MN | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301077643 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
516 DELAWARE STREET SE, CLINIC 1E UMP SURGERY CLINIC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0356 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730288119 | Roderick Allen Barke | Surgery | Department of Surgery (112), Minneapolis Veterans Affair Medical Center, Minneapolis, MN 55417-2648 | 2006-09-21 |
| 1972898054 | Jacob Andrew Swann | Surgery | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2011-06-16 |
| 1477780245 | Christopher James Tignanelli | Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2009-06-18 |
| 1053550434 | Julie Ottosen | Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2009-02-09 |
| 1235218793 | Gregory J Beilman | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1e, Minneapolis, MN 55455 | 2006-11-03 |
| 1124100821 | Paul Nmi Druck | Surgery | 1 Veterans Dr, #112, Minneapolis, MN 55417-2309 | 2006-10-20 |
| 1841248291 | Surgical Specialists of Minnesota | Surgery | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740515642 | Mark Francis Scott II | Surgery | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-10-09 |
| 1720261779 | Jay Michael Shoaps | Surgery | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-12-13 |
| 1417936600 | Christopher Moir | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2006-01-16 |
| 1144212572 | Andrew Donald Smith Jr. | Surgery | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-08-22 |
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on MELISSA ELIZABETH BRUNSVOLD.
| 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.