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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 46839 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0450916 | 05 |
Street Address |
2165 WHITE BEAR AVE - MAIL STOP 31600A HEALTHPARTNERS MAPLEWOOD CLINIC |
City | MAPLEWOOD |
State | MN |
Zip Code | 55109 |
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 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
Please comment or provide details below to improve the information on STACIA A RIVERS.
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.