MATTHEW S SEGEDY (NPI# 1508831041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508831041 |
| Entity Type | Individual |
| Full Name | MATTHEW S SEGEDY |
| Credential | MD |
| Practice Address |
17705 Hutchins Dr Minnetonka MN 55345-4145 |
| Mailing Address |
1241 Cedar Lake Rd S Minneapolis MN 55416-3605 |
| Practice Telephone | 9524018300 |
| Mailing Telephone | 6123771551 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40142 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERREDONE | CP9041016675 | 01 |
| MN | MEDICA | 1209022 | 01 |
| MN | UCARE | 124599 | 01 |
| MN | BLUECROSS | 16623SO | 01 |
| Street Address |
17705 HUTCHINS DR |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494791 | Ian Anthony Park | Dentist | 17705 Hutchins Dr, Suite 209, Minnetonka, MN 55345-4145 | 2005-08-11 |
| 1902168263 | Rebecca Mahady | Pediatrics | 17705 Hutchins Dr, Suite 250, Minnetonka, MN 55345-4145 | 2012-06-13 |
| 1891986378 | Ian Park Dds Pa | Dentist | 17705 Hutchins Dr, Suite 209, Minnetonka, MN 55345-4145 | 2007-08-08 |
| 1275644684 | Mark Robert Jensen | Dentist | 17705 Hutchins Dr, #207, Minnetonka, MN 55345-4176 | 2006-08-31 |
| 1326153511 | Richard Irving Adams | Family Medicine | 17705 Hutchins Dr, Minnetonka, MN 55345-4145 | 2006-08-20 |
| 1679505770 | Laura Ruth Ringuette | Pediatrics | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-07-07 |
| 1134188766 | Elizabeth Anne Hass | Nurse Practitioner | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-03-22 |
| 1427027184 | South Lake Clinic, P.a. | Pediatrics | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-03-15 |
| 1639147192 | Nicole Anne Martens | Nurse Practitioner | 17705 Hutchins Dr, Minnetonka, MN 55345-4145 | 2006-03-10 |
| 1346217841 | Larry G. Manney | Pediatrics | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| 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 |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1770914095 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1043641368 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite, 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1780015008 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive, Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
| 1235439548 | Crystal Singewald | Pediatrics | 17705 Hutchins Dr Ste 100, Minnetonka, MN 55345-4145 | 2010-11-02 |
| 1447480280 | Yana T. Nagle | Pediatrics | 17705 Hutchins Drive, Suite 101, South Lake Pediatrics, Minnetonka, MN 55345 | 2009-07-14 |
| 1417047879 | Daniel P Kohen | Pediatrics | 10505 Wayzata Blvd, Suite #200, Minnetonka, MN 55305-1502 | 2006-10-13 |
| 1063486595 | Burton Allan Benson Jr. | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2006-02-13 |
| 1528030053 | Kelly Swearingen Lemieux | Pediatrics | 14001 Ridgedale Drive, #100, Minnetonka, MN 55305 | 2006-02-07 |
| 1942728936 | Shane Mcwhirter | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2017-08-30 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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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.