MINNESOTA COLON & RECTAL SURGICAL SPECIALISTS, PLLC (NPI# 1568786150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568786150 |
Entity Type | Organization |
Organization Name | MINNESOTA COLON & RECTAL SURGICAL SPECIALISTS, PLLC |
Practice Address |
910 E 26th St Suite 101 Minneapolis MN 55404-4526 |
Mailing Address |
2355 Fairview Ave N Suite 207 Roseville MN 55113-2724 |
Practice Telephone | 6122939977 |
Mailing Telephone | 6122939977 |
Enumeration Date | 2010-03-25 |
Last Update Date | 2010-03-25 |
Authorized Official Name | SHARON L DYKES (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6122939977 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
40267 | MN | Ambulatory Health Care Facilities |
Y | 174400000X | Specialist | 40267 | MN | Other Service Providers |
Street Address |
910 E 26TH ST SUITE 101 |
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 |
1548490329 | Samith Thomas Kochuparambil | Internal Medicine | 910 E 26th St, Suite 100, Minneapolis, MN 55404-4526 | 2009-07-15 |
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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
1881099299 | Aaron Babb Medical Consulting Inc | Specialist | 204 9th Ave N, Minneapolis, MN 55401-1158 | 2014-10-28 |
1417387754 | Mary Arnold | Specialist | 2944 38th Ave S, Minneapolis, MN 55406-1724 | 2013-11-23 |
1962778043 | Headache House Call Pllc | Specialist | 4920 Drew Ave S, Minneapolis, MN 55410-1742 | 2012-03-22 |
1003110545 | Abdirazak M Alo | Specialist | 2740 Minnehaha Ave Ste 160, Minneapolis, MN 55406-3776 | 2010-12-24 |
1407171994 | Essie Marie Quiroa | Specialist | 2937 Lyndale Ave S Ste 201, Minneapolis, MN 55408-2177 | 2010-03-29 |
1942524103 | Specialty Care Group, LLC | Specialist | 2113 Girard Ave S Ste 2, Minneapolis, MN 55405-2547 | 2010-03-17 |
1477795193 | Solwelu | Specialist | 4201 E 54th St, Minneapolis, MN 55417-2245 | 2009-03-26 |
1285870378 | Mary Louise Huggar | Specialist | 2139 44th Ave N, Minneapolis, MN 55412-1162 | 2008-12-19 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55404 |
Please comment or provide details below to improve the information on MINNESOTA COLON & RECTAL SURGICAL SPECIALISTS, PLLC.
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.