STEVEN S SHU (NPI# 1548241706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548241706 |
| Entity Type | Individual |
| Full Name | STEVEN S SHU |
| Credential | M.D. |
| Practice Address |
5502 W Broadway Ave Crystal MN 55428-3508 |
| Practice Telephone | 7632876500 |
| Practice Fax Number | 7632876544 |
| Mailing Telephone | 7632876500 |
| Mailing Fax Number | 7632876544 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 44484 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104073071 | Steven Ting-bin Shu | Acupuncturist | 2220 E. Fruit St., Suite 112, Santa Ana, CA 92701-4459 | 2008-08-22 |
| Street Address |
5502 W BROADWAY AVE |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55428-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706509 | Dawn M Blomgren I | Family Medicine | 5502 W Broadway Ave, Suite 200, Crystal, MN 55428-3508 | 2005-11-03 |
| 1124292578 | Gretchen Soberay | Family Medicine | 5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428-3508 | 2008-04-16 |
| 1629122767 | Tammy Gregerson | Physician Assistant | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2007-01-23 |
| 1548366867 | Northwest Family Physicians Pa | Family Medicine | 5502 W Broadway Ave, Suite 200, Crystal, MN 55428-3508 | 2006-09-15 |
| 1619904208 | Hellina Tegagne Dessie | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2006-06-27 |
| 1689655870 | Carol M Karsnia | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2005-11-07 |
| 1083695282 | Joyce L Anderson | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2005-11-07 |
| 1447231550 | Christopher A Bennett | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2005-11-07 |
| 1679564132 | Jyothsna M Reddy | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2005-11-03 |
| 1639160096 | Donald R Nicolai | Family Medicine | 5502 W Broadway Ave, Crystal, MN 55428-3508 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632324 | Yazdaan Juma | Family Medicine | 5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184 | 2016-03-22 |
| 1669577417 | Scott Anthony Reichel | Family Medicine | 5502 W Broadway, Northwest Family Physicians, Crystal, MN 55428 | 2006-09-14 |
| 1336123611 | Paul Andy Ruth | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2005-12-01 |
| 1093706509 | Dawn M Blomgren I | Family Medicine | 5502 W Broadway Ave, Suite 200, Crystal, MN 55428-3508 | 2005-11-03 |
| 1093184533 | Ofer Barniv | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2015-09-15 |
| 1588004279 | Crystal New Hope Medical Clinic | Family Medicine | 3501 Douglas Dr N, Crystal, MN 55422-2480 | 2013-06-27 |
| 1760733752 | Elizabeth Janet Albright | Family Medicine | 5700 Bottineau Blvd, Suite #100, Crystal, MN 55429-3183 | 2012-10-01 |
| 1528327160 | Shelby Rae Spandl | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2012-05-15 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1194950303 | Ruby Waiyee Tam | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2009-05-18 |
| Find all providers in CRYSTAL | ||||
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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.