DR. SAMITH THOMAS KOCHUPARAMBIL (NPI# 1548490329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548490329 |
| Entity Type | Individual |
| Full Name | DR. SAMITH THOMAS KOCHUPARAMBIL |
| Other Name | DR. SAMITH THOMAS K |
| Credential | MD |
| Practice Address |
910 E 26th St Suite 100 Minneapolis MN 55404-4526 |
| Practice Telephone | 6128846300 |
| Practice Fax Number | 6128846363 |
| Mailing Telephone | 6128846300 |
| Mailing Fax Number | 6128846363 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 003640 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
55683 | MN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
106191 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| WI | ENROLLED | 05 |
| Street Address |
910 E 26TH ST SUITE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264435 | Timothy Alan Lander | Otolaryngology | 910 E 26th St, Ste 323, Minneapolis, MN 55404-4549 | 2005-06-08 |
| 1285166637 | Jessica Lynn Bonden | Physician Assistant | 910 E 26th St, Minneapolis, MN 55404-4526 | 2017-04-03 |
| 1154788297 | Jacob Joseph Garin | Social Worker | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2016-01-20 |
| 1790176055 | Sarah Anne Gillis Eckhardt | Psychologist | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2015-02-09 |
| 1134523483 | Angela Stephens | Dietitian, Registered | 910 E 26th St, Suites 100-200, Minneapolis, MN 55404-4526 | 2014-10-15 |
| 1346652823 | Crystal Bryant | Nurse Practitioner | 910 E 26th St, Suite 100-200, Minneapolis, MN 55404-4526 | 2014-06-02 |
| 1720422645 | Natalie Marie Concannon | Physician Assistant | 910 E 26th St, Suite 100, Minneapolis, MN 55404 | 2013-04-22 |
| 1568786150 | Minnesota Colon & Rectal Surgical Specialists, Pllc | Clinic/Center | 910 E 26th St, Suite 101, Minneapolis, MN 55404-4526 | 2010-03-25 |
| 1609002633 | Christina Jane Jarosch | Psychiatry & Neurology | 910 E 26th St, Suite 410, Minneapolis, MN 55404-4526 | 2009-06-04 |
| 1972737997 | Jessica M Cici | Psychiatry & Neurology | 910 E 26th St, Ste 410, Minneapolis, MN 55404-4526 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1205808466 | Paul J Thurmes | Internal Medicine | 910 E 26th St Ste 100, Minneapolis, MN 55404-4552 | 2006-02-02 |
| 1851361588 | Brian H Rank | Internal Medicine | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-01-25 |
| 1104358043 | Manoj Kumar | Internal Medicine | 701 Park Ave, Hennepin County Medical Center Internal Medicine, Minneapolis, MN 55415-1623 | 2017-03-30 |
| 1417374406 | Amit Arun Kulkarni | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-03-27 |
| 1417397316 | Joseph Maakaron | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2013-06-25 |
| 1649521618 | Dennis L Confer | Internal Medicine | 3001 Broadway St Ne, Suite 100, Minneapolis, MN 55413-2195 | 2012-10-01 |
| 1730440140 | Fiona He | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455 | 2012-06-01 |
| 1366708794 | Karim Ramzi Saab | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2012-04-10 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on DR. SAMITH THOMAS KOCHUPARAMBIL.
| 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.