KELLY CASSERLY (NPI# 1528298411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528298411 |
| Entity Type | Individual |
| Full Name | KELLY CASSERLY |
| Credential | DO |
| Practice Address |
121 S 8th St Suite 600 Minneapolis MN 55402-2841 |
| Mailing Address |
121 S 8th St Ste 600 Minneapolis MN 55402-2825 |
| Practice Telephone | 6123334822 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 57705 | MN | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
57705 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
121 S 8TH ST SUITE 600 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285607390 | Jennifer Elizabeth Smith-otte | Nurse Practitioner | 121 S 8th St, Suite 600, Minneapolis, MN 55402-2841 | 2006-02-09 |
| 1124284476 | Christine Durler | Nurse Practitioner | 121 S 8th St, Tcf Tower, Suite 600, Minneapolis, MN 55402-2841 | 2008-08-05 |
| 1245341031 | Brenda J Harris | Obstetrics & Gynecology | 121 S 8th St, Suite 600, Minneapolis, MN 55402-2841 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1225395114 | Elizabeth Olajumoke Alabi | Obstetrics & Gynecology | 701 Park Ave Sl350, Hennepin County Medical Center, Minneapolis, MN 55415-0001 | 2012-04-16 |
| 1275764748 | Peter Eilert Fehr | Obstetrics & Gynecology | 3931 Crystal Lake Blvd, Minneapolis, MN 55422-2326 | 2009-08-01 |
| 1134362809 | Maren Flynn | Obstetrics & Gynecology | 8170 33rd. Avenue South, Ms21110q, Minneapolis, MN 55440-1309 | 2009-04-10 |
| 1073755757 | Joshua David Kapfhamer | Obstetrics & Gynecology | 2828 Chicago Ave Ste 400, Minneapolis, MN 55407 | 2009-03-27 |
| 1164617569 | Suzanne Marie Darnell | Obstetrics & Gynecology | 320 Delaware St Se, U of Minnesota, Minneapolis, MN 55455 | 2007-09-09 |
| 1255452611 | Laura Marie Nezworski | Obstetrics & Gynecology | 701 Park Ave # P5.100, Minneapolis, MN 55415-1623 | 2007-04-03 |
| 1336208669 | Rebecca Ruth French | Obstetrics & Gynecology | 606 24th Avenue Sout Suite 300, Riveriside Professional Bldg, Minneapolis, MN 55454 | 2006-12-06 |
| 1457421885 | Preston P Williams | Obstetrics & Gynecology | 420 Delaware St Se, Mmc 395, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-11-09 |
| 1790860682 | Kirk D Ramin | Obstetrics & Gynecology | Maternal-fetal Medicine Center, 606 24th Avenue South, Suite 400, Minneapolis, MN 55454 | 2006-10-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
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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.