DR. MICHAEL RICHARD ANDERSON (NPI# 1437446887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437446887 |
Entity Type | Individual |
Full Name | DR. MICHAEL RICHARD ANDERSON |
Credential | D.O. |
Practice Address |
2090 Woodwinds Dr Ste 200 Woodbury MN 55125-2522 |
Practice Telephone | (651) 968-5200 |
Mailing Telephone | (651) 968-5200 |
Enumeration Date | 2011-07-06 |
Last Update Date | 2017-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 5101019507 | MI | Allopathic & Osteopathic Physicians |
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
61418 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
1881234623 | Michael Anderson | Durable Medical Equipment & Medical Supplies | 1203 N Hobart St Ste 34, Pampa, TX 79065-4664 | 2020-01-09 |
1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
1609324789 | Michael Anderson | Counselor | 75 Heaton Dr, Covington, GA 30016-0224 | 2016-09-16 |
1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
1124406186 | Michael A Anderson | Family Medicine | 1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953 | 2015-05-11 |
1679971683 | Michael Anderson | Occupational Therapist | 355 Saddlebrook Cir, Lewisville, NC 27023-8213 | 2014-12-08 |
1881004877 | Michael Anderson | Anesthesiology | 2345 E Thomas Rd Ste 400, Phoenix, AZ 85016 | 2014-04-30 |
1467871517 | Michael Callum Anderson | Counselor | 1881 Ne 26th St Ste 70, Wilton Manors, FL 33305-1425 | 2014-04-15 |
1871911958 | Michael Anderson | Physical Therapist | 9909 Mira Mesa Blvd Ste 260, San Diego, CA 92131-1064 | 2014-04-04 |
Street Address |
2090 WOODWINDS DR STE 200 |
City | WOODBURY |
State | MN |
Zip Code | 55125-2522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043270952 | David Preston Law | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2006-03-24 |
1649870296 | Lisa Robin Frank | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2020-10-31 |
1649897133 | Claire Elizabeth Johnson | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2020-06-30 |
1063057628 | Margaret Faust | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-11-07 |
1306404835 | Madison Lee Haus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-05-30 |
1083278436 | Alexi Dee Bopray | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-30 |
1740844794 | Maren Fiscus | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2019-04-25 |
1235671157 | Sarah A Anderson | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2016-11-09 |
1407306004 | Krista M Nauman | Physician Assistant | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125-2522 | 2016-10-06 |
1740659341 | Mark Budlong | Physical Therapist | 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 | 2015-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
Find all providers in zip 55125 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003076365 | Scott Jonathan Koenig | Orthopaedic Surgery | 45 Crossways Park Dr W, Woodbury, NY 11797-2002 | 2008-06-11 |
1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629242979 | Jessica M Downes | Orthopaedic Surgery | 701 Park Ave B, Henepin County Medical Center, Minneapolis, MN 55415 | 2008-04-17 |
1609872159 | Lance Michael Silverman | Orthopaedic Surgery | 6600 France Ave S, Ste 605, Edina, MN 55435-1807 | 2005-06-21 |
1780882662 | John Clinton Tanner IIi | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-03 |
1730390238 | Jeffrey Daniel Seybold | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-05-25 |
1891729000 | Johannes Christiaan Coetzee | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-11 |
1154390417 | Dennis John Callahan | Orthopaedic Surgery | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-03-17 |
1912984915 | Ross Paskoff | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-30 |
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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.