DR. MARK DERUITER (NPI# 1447458831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447458831 |
| Entity Type | Individual |
| Full Name | DR. MARK DERUITER |
| Credential | PH.D. |
| Practice Address |
164 Pillsbury Dr Se 115 Shevlin Hall Minneapolis MN 55455-0279 |
| Mailing Address |
164 Pillsbury Dr Se Minneapolis MN 55455-0279 |
| Practice Telephone | 6126245755 |
| Practice Fax Number | 6126247586 |
| Mailing Telephone | 6126245755 |
| Mailing Fax Number | 6126247586 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 5987 | MN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902340136 | Mark R Deruiter | Marriage & Family Therapist | 778 Columbia Ave W, Battle Creek, MI 49015-3028 | 2016-12-07 |
| Street Address |
164 PILLSBURY DR SE 115 SHEVLIN HALL |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134320419 | Sarah Kay Angerman | Audiologist | 164 Pillsbury Dr Se, 115 Shevlin Hall, Minneapolis, MN 55455-0279 | 2007-05-31 |
| 1598278889 | Carly Jean Cauley | Speech-Language Pathologist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2017-11-09 |
| 1972914646 | Joel Korte | Speech-Language Pathologist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2014-05-15 |
| 1063744944 | Amanda Nicole Sharp | Physical Therapist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2010-02-03 |
| 1093901183 | Linda R Hinderscheit | Speech-Language Pathologist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2007-09-21 |
| 1982890133 | Rebecca Mary Ludewig Lulai | Speech-Language Pathologist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2007-09-21 |
| 1346436839 | Marilyn Elizabeth Fairchild | Speech-Language Pathologist | 164 Pillsbury Dr Se, 115 Shevlin Hall, Minneapolis, MN 55455-0279 | 2007-09-19 |
| 1427243484 | Regents of The University of Minnesota | Speech-Language Pathologist | 164 Pillsbury Dr Se, Minneapolis, MN 55455-0279 | 2007-09-12 |
| 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 | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839715 | Thomas J Tedeschi | Audiologist | 150 S 5th St Ste 2300, Minneapolis, MN 55402-4223 | 2020-04-13 |
| 1538724612 | Elizabeth Mary Butler | Audiologist | 1155 E County Road E, Ste 100, Minneapolis, MN 55110-5191 | 2019-05-05 |
| 1700313681 | Hannah Catherine Erickson Herd | Audiologist | 701 25th Ave S Fl 2, Minneapolis, MN 55454 | 2017-05-22 |
| 1932529187 | Rachel Johnson | Audiologist | 2211 Park Avenue South, Minneapolis, MN 55404 | 2014-04-25 |
| 1528389988 | Jennifer Joan Nordberg | Audiologist | 2211 Park Avenue, Minneapolis, MN 55404 | 2010-06-18 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1861649360 | Jessica Touray | Audiologist | 701 25th Ave S Ste 200, Minneapolis, MN 55454-1443 | 2008-08-26 |
| 1104025725 | Jane Elizabeth Carlstrom | Audiologist | 164 Pillsbury Drive S.e., 115 Shevlin Hall, Minneapolis, MN 55455-0279 | 2007-07-13 |
| 1134320419 | Sarah Kay Angerman | Audiologist | 164 Pillsbury Dr Se, 115 Shevlin Hall, Minneapolis, MN 55455-0279 | 2007-05-31 |
| 1861548893 | Susan Phillips | Audiologist | 4723 Hiawatha Ave, Minneapolis, MN 55406-3928 | 2007-01-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.