MINNESOTA COLON & RECTAL SURGICAL SPECIALISTS, PLLC


Address: 910 E 26th St, Suite 101, Minneapolis, MN 55404-4526
Phone: 6122939977

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 910 E 26TH ST
SUITE 101
City MINNEAPOLIS
State MN
Zip Code 55404-4526

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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