PELVIC FLOOR CENTER, LLC (NPI# 1538107743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538107743 |
| Entity Type | Organization |
| Organization Name | PELVIC FLOOR CENTER, LLC |
| Practice Address |
2800 Chicago Ave S Suite 300 Minneapolis MN 55407-1353 |
| Mailing Address |
3433 Broadway St Ne Suite 115 Minneapolis MN 55413-1740 |
| Practice Telephone | 6512257800 |
| Practice Fax Number | 6513121570 |
| Mailing Telephone | 6513121520 |
| Mailing Fax Number | 6513121593 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | DR. MICHAEL PAUL SPENCER (PRESIDENT CEO) |
| Authorized Official Telephone | 6512257800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 353617300 | 05 |
| Street Address |
2800 CHICAGO AVE S SUITE 300 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457300527 | Pamela Rae Herder | Obstetrics & Gynecology | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1320 | 2006-05-08 |
| 1942596929 | Maggie Hoi Soberay | Physician Assistant | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1353 | 2011-06-28 |
| 1386969657 | Janice Ellan Mullins | Registered Nurse | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1353 | 2010-03-30 |
| 1407866627 | Jeffrey J Morken | Colon & Rectal Surgery | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1353 | 2006-08-09 |
| 1215945944 | Amy J Thorsen | Colon & Rectal Surgery | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1353 | 2006-08-05 |
| 1386653947 | Michael P Spencer | Colon & Rectal Surgery | 2800 Chicago Ave S, 300, Minneapolis, MN 55407-1353 | 2006-08-05 |
| 1548215767 | Charles O Finne IIi | Colon & Rectal Surgery | 2800 Chicago Ave S, Suite 300, Minneapolis, MN 55407-1353 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700148426 | Emmanuel Balcos | Colon & Rectal Surgery | 7914 Victoria Curv, Minneapolis, MN 55426-3066 | 2012-06-08 |
| 1104115484 | Emily Frances Midura | Colon & Rectal Surgery | 6565 France Ave S Ste 375, Minneapolis, MN 55435-2141 | 2011-04-07 |
| 1376596775 | Colon & Rectal Surgery Associates Ltd | Colon & Rectal Surgery | 3433 Broadway St Ne, Suite 115, Minneapolis, MN 55413-1740 | 2006-05-18 |
| 1376857433 | Patrick Tawadros | Colon & Rectal Surgery | 420 Delaware St Se, Mmc 450, Minneapolis, MN 55455-0341 | 2010-08-01 |
| 1083857148 | Wolfgang B. Gaertner | Colon & Rectal Surgery | 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 | 2009-04-19 |
| 1417087487 | Meghan Kathleen Rothenberger | Colon & Rectal Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-03-07 |
| 1184768624 | Mark Lane Welton | Colon & Rectal Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-02-17 |
| 1255487013 | Genevieve B Melton-meaux | Colon & Rectal Surgery | 420 Delaware St Se, Mayo Medical Code 450, Minneapolis, MN 55455-0341 | 2007-01-26 |
| 1285704916 | David A Rothenberger | Colon & Rectal Surgery | 516 Delaware St Se, Pwb - First Floor, Clinic 1-e, Minneapolis, MN 55455-0356 | 2006-11-09 |
| 1023191590 | Robert David Madoff | Colon & Rectal Surgery | 909 Fulton St Se, Minneapolis, MN 55455 | 2006-10-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.