HEALTHEAST MEDICAL RESEARCH INSTITUTE (NPI# 1508191552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508191552 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Other Organization Name | HEALTHEAST PROFESSIONAL SERVICES |
| Practice Address |
1700 University Ave W 6th Floor West Saint Paul MN 55104-3727 |
| Practice Telephone | 6512322273 |
| Practice Fax Number | 6512324953 |
| Mailing Telephone | 6512322273 |
| Mailing Fax Number | 6512324953 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-09-05 |
| Authorized Official Name | DOUG DAVENPORT (CFO) |
| Authorized Official Telephone | 6512322250 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HealthEast Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1801842729 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 6936 Pine Arbor Drive South, Suite 100, Cottage Grove, MN 55016-3007 | 2006-05-25 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1053620187 | Healtheast Medical Research Institute | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2010-10-07 |
| 1194987735 | Healtheast Medical Research Institute | Hospitalist | 45 West 10th Street, Saint Paul, MN 55102-1004 | 2008-06-25 |
| 1578723383 | Healtheast Medical Research Institute | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-06-16 |
| Street Address |
1700 UNIVERSITY AVE W 6TH FLOOR WEST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144287251 | Diane M Budnick | Nurse Practitioner | 1700 University Ave W, Medical Advanced Pain Specialists, Saint Paul, MN 55104-3727 | 2006-05-01 |
| 1255802187 | Angel N Moiyin | Interpreter | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2018-12-17 |
| 1467927954 | Ashley Erin Trudell | Social Worker | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2018-10-10 |
| 1699253468 | Annika Lee Blaine | Registered Nurse | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2018-08-02 |
| 1851745327 | Ian Johnson | Acupuncturist | 1700 University Ave W, 6th Floor, Saint Paul, MN 55104-3727 | 2016-04-20 |
| 1912351545 | David Lewis Farley | Social Worker | 1700 University Ave W, 6th Floor, Saint Paul, MN 55104-3727 | 2016-04-20 |
| 1942663711 | Healtheast Care System | Pharmacy | 1700 University Ave W, Saint Paul, MN 55104 | 2016-03-30 |
| 1679938807 | Huechee Yang | Physical Therapist | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2015-12-14 |
| 1609290717 | Diane Thomas | Nurse Practitioner | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2014-02-10 |
| 1669807251 | Kou Vang | Interpreter | 1700 University Ave W, Saint Paul, MN 55104-3727 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939706 | Bjorn Bakken | Internal Medicine | 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 | 2014-07-03 |
| 1679997936 | Keith Eugene Folkert | Internal Medicine | 2122 Highland Pkwy, Saint Paul, MN 55116-1313 | 2014-02-06 |
| 1255607321 | Louis A Sagert | Internal Medicine | 497 Curfew St, Saint Paul, MN 55104-4912 | 2012-03-22 |
| 1912137944 | Dominic Rossini | Internal Medicine | 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 | 2009-07-24 |
| 1639367865 | Kerwin T Chan | Internal Medicine | 45 10th St W Ste A, Saint Paul, MN 55102-1062 | 2007-10-12 |
| 1861696056 | Emily Ruth Conover Downing | Internal Medicine | 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 | 2007-06-12 |
| 1750304580 | Bobby Khue Yang | Internal Medicine | 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 | 2006-07-25 |
| 1093746000 | Salima Mithani | Internal Medicine | 2005 Ford Pkwy, Saint Paul, MN 55116-1932 | 2006-07-06 |
| 1609803766 | Peter Cermak | Internal Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-26 |
| 1619903093 | Shannon Canas | Internal Medicine | 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 | 2006-06-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.