ILO ELMAR LEPPIK (NPI# 1538174073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538174073 |
| Entity Type | Individual |
| Full Name | ILO ELMAR LEPPIK |
| Credential | M.D. |
| Practice Address |
5775 Wayzata Blvd Ste 200 Minneapolis MN 55416-1227 |
| Practice Telephone | 9525254511 |
| Practice Fax Number | 9525251560 |
| Mailing Telephone | 9525254511 |
| Mailing Fax Number | 9525251560 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
16819-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22617 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 05-81577 | 01 | |
| BLUE CROSS BLUE SHIELD | 71327LE | 01 | |
| ND | 10088 | 05 | |
| TRIWEST | A006 | 01 | |
| AMERICA'S PPO | 235558 | 01 | |
| MN | 167090500 | 05 | |
| WEA TRUST | 41-1677590 | 01 | |
| PREFERRED ONE | 01014966 | 01 | |
| 1ST CHOICE OF THE MIDWEST | 41-1677590 | 01 | |
| HEALTHPARTNERS | HP37157 | 01 |
| Street Address |
5775 WAYZATA BLVD STE 200 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043350366 | Sima Indubhai Patel | Psychiatry & Neurology | 5775 Wayzata Blvd Ste 200, Minneapolis, MN 55416-1227 | 2007-02-07 |
| 1043227515 | Thomas Edward Beniak | Clinical Neuropsychologist | 5775 Wayzata Blvd Ste 200, Minneapolis, MN 55416-1227 | 2006-08-01 |
| 1023023561 | Lorna Lee Rupp | Nurse Practitioner | 5775 Wayzata Blvd Ste 200, Minneapolis, MN 55416-1227 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669995528 | Malik Ghannam | Psychiatry & Neurology | 701 15th Ave Se, Minneapolis, MN 55414-4047 | 2017-07-24 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1699079533 | Gilbert Westreich | Psychiatry & Neurology | 1779 Emerson Ave South, Minneapolis, MN 55403-2909 | 2011-01-07 |
| 1801089024 | Bruce Merrtill Tennebaum | Psychiatry & Neurology | 3812 Zenith Ave S, Minneapolis, MN 55410-1167 | 2007-08-21 |
| 1942355490 | Adam Forbes Carpenter | Psychiatry & Neurology | 420 Delaware St Se, Clinic 1a, Phillips Wangensteen Building, Minneapolis, MN 55455 | 2007-01-24 |
| 1821172123 | John Riley Mccarten | Psychiatry & Neurology | One Veterans' Drive Minneapolis Vamc, Geriatric Research Education and Clinical Center, 11-g, Minneapolis, MN 55417 | 2006-10-24 |
| 1811085137 | Paul J Tuite | Psychiatry & Neurology | Pwb First Floor, Clinic 1a, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-11 |
| 1326143553 | Scott Mitchell Lewis | Psychiatry & Neurology | 1 Veterans Dr # 11b, Minneapolis, MN 55417-2309 | 2006-09-13 |
| 1649372350 | David Allan Rottenberg | Psychiatry & Neurology | 516 Delaware Street Se, Clinic 1a, Neurology Clinic, Minneapolis, MN 55455-0346 | 2006-09-02 |
| 1215973474 | Lee E Osborne | Psychiatry & Neurology | 701 Park Ave # P5, Minneapolis, MN 55415-1623 | 2006-06-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on ILO ELMAR LEPPIK.
| 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.