DR. STEPHEN BRYAN WAHMAN (NPI# 1568595783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568595783 |
Entity Type | Individual |
Full Name | DR. STEPHEN BRYAN WAHMAN |
Credential | DPM |
Practice Address |
1575 Sherwood Rd Shoreview MN 55126-8517 |
Mailing Address |
855 Village Center Dr #329 North Oaks MN 55127-3016 |
Practice Telephone | 6513413630 |
Mailing Telephone | 6513413630 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
370 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | HEALTH PARTNERS | 18033 | 01 |
MN | MEDICA PROVIDER NO. | 27-11884 | 01 |
MN | U CARE MINNESOTA | 104402 | 01 |
MN | 846471 | 05 |
Street Address |
1575 SHERWOOD RD |
City | SHOREVIEW |
State | MN |
Zip Code | 55126-8517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
Find all providers in zip 55126 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
1760465215 | Minh Chau Margaret Nguyen | Podiatrist | 7600 France Ave S Ste 1100, Edina, MN 55435-5924 | 2005-11-29 |
1689655722 | Michael B Debrule | Podiatrist | 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 | 2005-11-07 |
1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
1558898114 | Kristofor James Kalvig | Podiatrist | 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 | 2017-05-15 |
1740544527 | Aaron Daniel Corfield | Podiatrist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-06-27 |
1912286964 | Otter Tail Podiatry P.C. | Podiatrist | 120 E Junius Ave, Fergus Falls, MN 56537-2819 | 2011-08-09 |
1134412802 | Karimah Z Shabazz | Podiatrist | 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 | 2011-05-27 |
1760614390 | Alissa Joy Redding | Podiatrist | 417 Franklin St S, Glenwood, MN 56334-1598 | 2009-08-15 |
1699968875 | Michael B Debrule Dpm, Pa | Podiatrist | 301 N 3rd St, Marshall, MN 56258-1328 | 2007-08-22 |
Find all providers with the same taxonomy |
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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.