STACIA A RIVERS


Address: 2165 White Bear Ave - Mail Stop 31600a, Healthpartners Maplewood Clinic, Maplewood, MN 55109
Phone: 6515239800

STACIA A RIVERS (NPI# 1467569632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467569632
Entity Type Individual
Full Name STACIA A RIVERS
Credential MD
Practice Address 2165 White Bear Ave - Mail Stop 31600a
Healthpartners Maplewood Clinic
Maplewood
MN 55109
Mailing Address 8170 33rd Ave S
Ms21110q
Minneapolis
MN 55425-4516
Practice Telephone 6515239800
Practice Fax Number 6515239801
Mailing Telephone 6515239800
Enumeration Date 2006-08-24
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 46839 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0450916 05

Office Location

Street Address 2165 WHITE BEAR AVE - MAIL STOP 31600A
HEALTHPARTNERS MAPLEWOOD CLINIC
City MAPLEWOOD
State MN
Zip Code 55109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073782207 Endea J Curry Internal Medicine 2165 White Bear Ave - Mail Stop 31600a, Healthpartners Maplewood Clinic, Maplewood, MN 55109-2796 2008-02-21
1477745198 Jaclyn F Chaffee Internal Medicine 2165 White Bear Ave - Mail Stop 31600a, Healthpartners Maplewood Clinic, Maplewood, MN 55109-2798 2007-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063828 Jodi May Begordis Registered Nurse 2586 7th Ave East, Suite 302, North St Paul, MN 55109 2020-05-06
1467917146 Alejandro Diez Freire Social Worker 2468 Germain St, Maplewood, MN 55109 2019-02-06
1679099667 Rochelle Marie Clarke Registered Nurse 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 2017-08-21
1497298210 Salams Care Residential, LLC Home Health 2240 Ide Ct, Maplewood, MN 55109 2016-11-28
1093199630 Garry Allen Psychologist 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 2015-07-14
1700264751 Matthew Seng Thao Student in an Organized Health Care Education/Training Program 1470 Gervais Ave, Maplewood, MN 55109 2015-05-11
1326458340 Chong Chang Counselor 1705 Cope Ave E Ste I, Maplewood, MN 55109 2014-04-29
1619396488 Leah Anne Downey Occupational Therapist 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 2014-04-09
1356765440 Group Health Plan, Inc Clinic/Center 2520 12th Ave E, North St Paul, MN 55109 2014-02-10
1336560275 Veneman Dental Care, Pa Dentist 1774 Cope Ave, Suite 110, Maplewood, MN 55109 2013-12-19
Find all providers in zip 55109

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205923489 Linnie A Aragones Pediatrics 2130 Millburn Ave Ste C5, Maplewood, NJ 07040-3747 2006-10-06
1225003866 Mary K Brown Pediatrics 1850 Beam Ave, Maplewood, MN 55109-1162 2006-02-17
1104359843 Madeline Paul Pediatrics 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 2017-04-10
1164836821 Elizabeth Placzek Pediatrics 2165 White Bear Ave N, Maplewood, MN 55109-2707 2014-06-19
1730445321 Shivgami Arora Pediatrics 2165 White Bear Ave N, Maplewood, MN 55109 2012-04-08
1508038969 Elizabeth Dalstrom Pai Pediatrics 1850 Beam Ave, Maplewood, MN 55109-1162 2008-03-26
1396859468 Jeanne Mackenzie Goodspeed Pediatrics 3100 Kennard St, Maplewood, MN 55109 2006-08-18
1891701595 Severiano Fajardo Sanjuan Jr. Pediatrics 2040 Millburn Ave, Suite 302, Maplewood, NJ 07040-3726 2006-08-01
1912932351 Robert Mayrand Pediatrics 1850 Beam Ave, Maplewood, MN 55109-1162 2006-07-12
1902833833 Kristin Sanders-gendreau Pediatrics 1850 Beam Ave, Maplewood, MN 55109-1162 2006-06-27
Find all providers in MAPLEWOOD

Competitor

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City MAPLEWOOD
Zip Code 55109

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Dataset Information

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.

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