MITCHELL PALMER (NPI# 1568439743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568439743 |
| Entity Type | Individual |
| Full Name | MITCHELL PALMER |
| Credential | MD |
| Practice Address |
6401 France Ave S Fairview Southdale Hospital Edina MN 55435 |
| Mailing Address |
7301 Ohms Lane Suite 650 Edina MN 55439 |
| Practice Telephone | 9529245141 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 42027 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICAL LICENSE | 42027 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275778805 | Mitchell Clark Palmer | Physician Assistant | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5104 | 2008-12-11 |
| Street Address |
6401 FRANCE AVE S FAIRVIEW SOUTHDALE HOSPITAL |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1760098156 | Tyler William Freiborg | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2020-09-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023085289 | Shaun Adams | Emergency Medicine | 6401 France Ave, Fairview Southdale Hospital, Edina, MN 55435 | 2006-03-07 |
| 1770573669 | Jeffrey Michael Young | Emergency Medicine | 7301 Ohms Lane, Suite 650, Emergency Physicians, P.a., Edina, MN 55439-4000 | 2005-10-24 |
| 1336131077 | Christopher Farnan | Emergency Medicine | 7301 Ohms Lane, Suite 650, Edina, MN 55439-4000 | 2005-08-18 |
| 1003094566 | James Raymond Bishop | Emergency Medicine | 6401 France Ave S, Edina, MN 55435-2104 | 2008-02-07 |
| 1952507501 | James Thomas Moe | Emergency Medicine | 6401 France Ave S, Edina, MN 55435-2104 | 2007-06-21 |
| 1578775193 | David Anthony Romans | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-05-04 |
| 1922139526 | Brandon T Trigger | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-03-08 |
| 1174539514 | Jenny L Thacker | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2006-07-31 |
| 1467489302 | Aaron Thomas Holley | Emergency Medicine | 6401 France Ave, Fairview Southdale Hospital, Edina, MN 55435 | 2006-06-27 |
| 1285670836 | Lawrence S Scheuer | Emergency Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2006-06-21 |
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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.