ANGELICA BADARU (NPI# 1407937766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407937766 |
| Entity Type | Individual |
| Full Name | ANGELICA BADARU |
| Practice Address |
2512 S 7th St Minneapolis MN 55454-1404 |
| Mailing Address |
4500 Sand Point Way Ne #100 Seattle WA 98105-3900 |
| Practice Telephone | 6123656777 |
| Practice Fax Number | 6123658001 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
62953 | MN | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
MD00046071 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 341280 | 01 | |
| WA | 8446379 | 05 |
| Street Address |
2512 S 7TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1316548498 | Erin Devine | Speech-Language Pathologist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2020-11-04 |
| 1689209173 | Megan Fritsch | Occupational Therapist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2020-03-05 |
| 1649819665 | Amanda Wenzel Kalstabakken | Clinical Neuropsychologist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2019-12-23 |
| 1528540671 | Emre Josiah Michelle Mauleon | Registered Nurse | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-09-05 |
| 1114419793 | Katherine Berglove | Physical Therapist | 2512 S 7th St, Minneapolis, MN 55454 | 2018-05-31 |
| 1811497621 | Kathryn Louise Chappelow | Occupational Therapy Assistant | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-02-19 |
| 1255830774 | Tracy Ann Moe | Nurse Practitioner | 2512 S 7th St, Minneapolis, MN 55454 | 2018-02-10 |
| 1558878363 | Nicole Ann Witowski | Registered Nurse | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2018-01-02 |
| 1396258448 | Ashley Relopez | Physical Therapist | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2017-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380007 | Megan Marie Oberle | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2011-05-06 |
| 1316247323 | Melinda June Rogers Ross Pierce | Pediatrics | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2010-10-25 |
| 1578880746 | Eric Morris Bomberg | Pediatrics | 2512 S 7th St, Minneapolis, MN 55454 | 2010-04-28 |
| 1295944932 | Matthew David Wise | Pediatrics | 3800 Park Nicollet Blvd, Minneapolis, MN 55416-2527 | 2007-05-21 |
| 1679617930 | Lynda E Polgreen | Pediatrics | 516 Delaware St Se, Pwb 13-214, Mmc 8404, Minneapolis, MN 55455-0356 | 2007-02-19 |
| 1295819498 | Anna Petryk | Pediatrics | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
| 1053494542 | Kumud S Sane | Pediatrics | 516 Delaware St Se, Pwb 4th Floor, Room 4-100, Minneapolis, MN 55455-0356 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368247 | Martha L. Spencer | Pediatrics | 3800 Park Nicolett Blvd., Pediatric Endocrinology, St. Louis Park, MN 55416-2699 | 2005-12-27 |
| 1174515274 | Mary Jennifer Abuzzahab | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2005-08-16 |
| 1255323358 | Krishna M Saxena | Pediatrics | Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102 | 2005-08-16 |
| 1023540473 | Sarah Jackson | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-03 |
| 1831518828 | Luong Doan | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2014-04-07 |
| 1265788574 | Anoop Mohamed Iqbal | Pediatrics | 200 1st St Sw, 55905-, Rochester, MN 55905-0001 | 2012-07-24 |
| 1043574569 | Kannan Kasturi | Pediatrics | 400 E 3rd St, Duluth, MN 55805 | 2012-06-28 |
| 1124295761 | Zarlasht Amini | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-05-13 |
| 1457440380 | Christine L Ternand | Pediatrics | 347 Smith Ave N, Children's Hospitals and Clinics of Mn, Saint Paul, MN 55102-2387 | 2006-10-11 |
| 1215901699 | Aida N Lteif | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-14 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on ANGELICA BADARU.
| 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.