NORTHSTAR RADIOLOGY CORPORATION PA (NPI# 1487787016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487787016 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR RADIOLOGY CORPORATION PA |
| Practice Address |
36 Nathan Lane N Plymouth MN 55441 |
| Mailing Address |
Po Box 396 Hopkins MN 55343-0396 |
| Practice Telephone | 6124371191 |
| Mailing Telephone | 6124371191 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | WILLIAM J FORD III (PRESIDENT) |
| Authorized Official Telephone | 6124371191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 27851 | MN | Other Service Providers |
| Street Address |
36 NATHAN LANE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| 1831119981 | Akshay B Shah | Specialist | 15474 N Haggerty Rd, Plymouth, MI 48170-4893 | 2006-07-20 |
| Find all providers in PLYMOUTH | ||||
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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.