MR. MARK LOUIS OVERSON (NPI# 1437338589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437338589 |
| Entity Type | Individual |
| Full Name | MR. MARK LOUIS OVERSON |
| Credential | C. PED. |
| Practice Address |
6363 France Ave S Suite 110 Edina MN 55435-2129 |
| Practice Telephone | 9529297717 |
| Practice Fax Number | 9529294535 |
| Mailing Telephone | 9529297717 |
| Mailing Fax Number | 9529294535 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6363 FRANCE AVE S SUITE 110 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235443 | Kristin Haugan | Family Medicine | 6363 France Ave S, Suite 525, Edina, MN 55435-2129 | 2006-02-22 |
| 1811515976 | Anna Quincer | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2020-07-06 |
| 1861971566 | Naysha Lavonne Stone | Counselor | 6363 France Ave S, Edina, MN 55435-2129 | 2018-08-13 |
| 1710409495 | Erica Lauren Miller Green | Nurse Practitioner | 6363 France Ave S, Edina, MN 55435-2129 | 2017-07-13 |
| 1235659830 | Michael Lemair | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-06-23 |
| 1821525668 | Rachel Bialostosky | Social Worker | 6363 France Ave S, Edina, MN 55435-2129 | 2017-05-11 |
| 1952849580 | Kristen Svendahl | Nurse Practitioner | 6363 France Ave S, Suite # 200, Edina, MN 55435-2129 | 2017-02-02 |
| 1982157590 | Jessica Anna Pivec | Clinical Exercise Physiologist | 6363 France Ave S, Suite 100, Edina, MN 55435-2129 | 2016-07-31 |
| 1720435563 | Ellen Wied | Counselor | 6363 France Ave S, Edina, MN 55435-1430 | 2016-05-23 |
| 1376912857 | Intermed Consultants Dialysis, Pllc | Internal Medicine | 6363 France Ave S, Suite 400, Edina, MN 55435-2129 | 2015-09-15 |
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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 |
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| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023140357 | Allyson Adrianne Segar | Technician, Other | 5201 Eden Ave, Suite 130, Edina, MN 55436-2316 | 2007-03-12 |
| 1881624690 | Sara Starr Zoller | Technician, Other | 5201 Eden Ave, Suite #130, Edina, MN 55436-2316 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476324 | Ferdus Aden | Technician, Other | 7026 W 133rd Ct, Savage, MN 55378-4436 | 2020-10-30 |
| 1710584610 | Crystal Yang | Technician, Other | 1540 Etna St, Saint Paul, MN 55106-1420 | 2020-10-04 |
| 1457967895 | Lisa Eisenbacher | Technician, Other | 731 Bielenberg Dr Ste 102-103, Woodbury, MN 55125-1700 | 2020-09-21 |
| 1265045157 | Abigail Johnson | Technician, Other | 6300 W Old Shakopee Rd, Bloomington, MN 55438-2654 | 2020-08-28 |
| 1003438037 | Shannon Marie Hacka | Technician, Other | 1011 Meadowlands Dr Ste 1&2, Saint Paul, MN 55127-2339 | 2020-05-13 |
| 1457972598 | Brittin Kemp | Technician, Other | 10450 185th St W Ste 100, Lakeville, MN 55044-6696 | 2020-04-29 |
| 1184243826 | Desira Wright | Technician, Other | 320 Old Territorial Rd Ne Apt 4, Chatfield, MN 55923-1610 | 2020-04-13 |
| 1982234571 | Kennedy Rosella Tonn | Technician, Other | 1011 Meadowlands Dr, Saint Paul, MN 55127-2339 | 2020-01-22 |
| 1043850399 | Tiffany Wilschek | Technician, Other | 1470 Industrial Drive Nw, Rochester, MN 55901-0614 | 2020-01-14 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
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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.