GEORGE M REALMUTO (NPI# 1497839831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497839831 |
| Entity Type | Individual |
| Full Name | GEORGE M REALMUTO |
| Credential | MD |
| Practice Address |
2312 S 6th St Suite F256 / 2b West Minneapolis MN 55454-1336 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se Minneapolis MN 55455 |
| Practice Telephone | 6122738700 |
| Mailing Telephone | 6122738700 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
24370 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7777470 | 05 | |
| WI | 30275300 | 05 | |
| IA | 0998823 | 05 | |
| MN | MEDICA CHOICE | 15-39939 | 01 |
| MN | ARAZ | 765579 | 01 |
| MN | PREFERRED ONE | 1009284 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 8D934RE | 01 |
| MN | UCARE | 102824 | 01 |
| MN | MEDICA PRIMARY | 15-39939 | 01 |
| MN | 909890900 | 05 | |
| MN | HEALTH PARTNERS | HP22342 | 01 |
| ND | 10387 | 05 |
| Street Address |
2312 S 6TH ST SUITE F256 / 2B WEST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
| 1245843101 | Molly K Cirillo | Social Worker | 2312 S 6th St, Minneapolis, MN 55454-1336 | 2020-08-28 |
| 1518526532 | Marie Amelia Metzger | Social Worker | 2312 S 6th St, Minneapolis, MN 55454-1336 | 2019-06-12 |
| 1942680236 | Melissa Reiland Dalhoe | Social Worker | 2312 S 6th St, Suite F-275, Minneapolis, MN 55454-1336 | 2015-06-02 |
| 1114208006 | Kathleen A Strawn | Occupational Therapist | 2312 S 6th St, Minneapolis, MN 55454-1336 | 2011-09-06 |
| 1710211768 | Andrea Lynn Childress | Nurse Practitioner | 2312 S 6th St, Minneapolis, MN 55454-1336 | 2009-09-23 |
| 1548432891 | Susan Jane Jorstad | Social Worker | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2008-03-27 |
| 1003992363 | Peter Milev | Psychiatry & Neurology | 2312 S 6th St, Ste F256 / 2b W University of Minnesota Physicians, Minneapolis, MN 55454-1336 | 2006-10-30 |
| 1245315084 | Stephen C Olson | Psychiatry & Neurology | 2312 S 6th St, Suite F256 / 2b West, Minneapolis, MN 55454-1336 | 2006-10-26 |
| 1689758591 | Gerald J August | Psychologist | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
| 1437566437 | Chiamaka Perditta Nwankiti | Psychiatry & Neurology | 2450 Riverside Ave South, Minneapolis, MN 55455 | 2014-07-22 |
| 1558776930 | Raghu Gandhi | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-24 |
| 1235419631 | Narendran Mavinakayinahalli Neelakantachar | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-17 |
| 1801100102 | Catherine Jordan Steingraeber | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2010-07-29 |
| 1346484227 | Diana Marie Pandey | Psychiatry & Neurology | 800 E 28th St, Mr 12301, Minneapolis, MN 55407-3723 | 2009-04-23 |
| 1467507152 | William R Dikel | Psychiatry & Neurology | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2007-01-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on GEORGE M REALMUTO.
| 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.