STEPHANIE KREJCAREK CHILDS


Address: 1580 Beam Ave, Maplewood, MN 55109-1127
Phone: 6517797978

STEPHANIE KREJCAREK CHILDS (NPI# 1528267853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528267853
Entity Type Individual
Full Name STEPHANIE KREJCAREK CHILDS
Credential M.D.
Practice Address 1580 Beam Ave
Maplewood
MN 55109-1127
Mailing Address 2550 University Ave W Ste 110n
Saint Paul
MN 55114-2001
Practice Telephone 6517797978
Practice Fax Number 6517797656
Mailing Telephone 6516025309
Mailing Fax Number 6512226786
Enumeration Date 2007-07-17
Last Update Date 2018-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
55245 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN ENROLLED 05

Other Providers STEPHANIE CHILDS

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1447691654 Stephanie Childs Dentist 2633 Route 940, Pocono Summit, PA 18346 2013-07-16
1659847952 Stephanie Porter Childs Physical Therapist 12524 Capella Trl, Austin, TX 78732-2394 2018-10-15
1932488731 Stephanie V. Childs Speech-Language Pathologist 333 Nahanton Street, Newton, MA 02459 2011-08-10

Office Location

Street Address 1580 BEAM AVE
City MAPLEWOOD
State MN
Zip Code 55109-1127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952378044 Ellen E Bellairs Radiology 1580 Beam Ave, Maplewood, MN 55109-1127 2006-03-07
1033564950 Amy Lee Physician Assistant 1580 Beam Ave, Maplewood, MN 55109-1127 2016-04-28
1699170209 Madison L Palmer Physician Assistant 1580 Beam Ave, Maplewood, MN 55109-1127 2014-10-24
1508275603 Stephanie Ernesta Smith Physician Assistant 1580 Beam Ave, Maplewood, MN 55109-1127 2014-08-04
1285079988 Yang Liu Internal Medicine 1580 Beam Ave, Maplewood, MN 55109-1127 2013-05-08
1871856641 Ryan Kevin Funk Internal Medicine 1580 Beam Ave, Maplewood, MN 55109 2012-06-18
1588979306 Katrina Margaret Jackson Nurse Practitioner 1580 Beam Ave, Maplewood, MN 55109-1127 2010-08-17
1598919698 Linh Nguyen Pharmacist 1580 Beam Ave, Maplewood, MN 55109-1127 2008-11-17
1730345380 Brian Martin Meger Pharmacist 1580 Beam Ave, Maplewood, MN 55109-1127 2008-08-04
1376686774 Minnesota Oncology Hematology, Pa Dietitian, Registered 1580 Beam Ave, Maplewood, MN 55109-1127 2007-02-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952378044 Ellen E Bellairs Radiology 1580 Beam Ave, Maplewood, MN 55109-1127 2006-03-07
1366447468 Darcy Ross Mcbride Radiology 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 2005-06-15
1386613818 Warren A Mcguire Radiology 1580 Beam Ave, Maplewood, MN 55109-1127 2006-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669031423 Kai Jiang Radiology 617 4th St Sw Apt 3, Rochester, MN 55902-3286 2019-06-06
1508205311 Somu Suppiah Radiology 6500 Excelsior Blvd Dept Of, St Louis Park, MN 55426 2013-06-14
1063858769 Sumit Sean Sood Radiology 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 2013-05-21
1831535863 Megan Gentry Hodges Radiology 1900 Centracare Circle #1600, Centracare Clinic Health Plaza Radiology/oncology, St Cloud, MN 56303-5000 2013-05-16
1679838403 Richard Lee Radiology 701 Park Ave # G1, Minneapolis, MN 55415-1623 2012-07-09
1396909404 James Lee Ecker Radiology 10448 Vera Cruz Dr N, Brooklyn Park, MN 55443-2555 2008-07-17
1275627820 Xin Wang Radiology The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 2006-10-03
1295759009 Gregory Evan Meyers Radiology 6950 France Ave S Ste 200, Edina, MN 55435-2025 2006-07-26
1770526188 Nathan Earl Hilton Radiology 215 Ivy St, Brainerd, MN 56401-3000 2006-06-14
1124082136 Janel A Cox Radiology 631 Goodrich Ave, Saint Paul, MN 55105-3522 2006-04-14
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Competitor

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City MAPLEWOOD
Zip Code 55109

Improve Information

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Dataset Information

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.

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