TAKESHI ONIZUKA (NPI# 1568809986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568809986 |
Entity Type | Individual |
Full Name | TAKESHI ONIZUKA |
Credential | M.D., PH.D. |
Practice Address |
225 Smith Ave N Ste 400 Saint Paul MN 55102 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 6512900133 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2013-05-24 |
Last Update Date | 2019-01-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
61562 | MN | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | 25403 | MN | Hospitals |
Address | Telephone Number | Fax Number |
---|---|---|
2925 Chicago Ave, Minneapolis, MN 55407 | 6122625000 |
Street Address |
225 SMITH AVE N STE 400 |
City | SAINT PAUL |
State | MN |
Zip Code | 55102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083697825 | Richard Jay Brody | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2005-11-25 |
1780209486 | Megan Kipfer | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2020-06-09 |
1659836070 | Jessica L Mahoney | Nurse Practitioner | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2019-02-11 |
1124501515 | Matthew Alan Klimek | Licensed Practical Nurse | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-09-11 |
1427552686 | Brittany Lynn Butts | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-03-22 |
1598212839 | Rachel M Thompson | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-09-02 |
1659827111 | Caitlin Ann Rau | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-25 |
1649723107 | Bridget Blake | Physician Assistant | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2016-08-01 |
1184988032 | Kalie Yang Kebed | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102 | 2012-06-26 |
1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538472048 | Manpreet Singh Sabharwal | Internal Medicine | 225 Smith Ave N # Ate400, Saint Paul, MN 55102-2533 | 2010-07-26 |
1881661734 | Richard Bernie Guthrie | Internal Medicine | 1355 Phalen Blvd, # 109, Saint Paul, MN 55106-3679 | 2006-02-28 |
1487626909 | Imran S Syed | Internal Medicine | 225 N Smith Avenue, Ste 400, Saint Paul, MN 55102 | 2006-02-07 |
1588649891 | John B Davis | Internal Medicine | 17 Exchange St W, #750, Saint Paul, MN 55102-1045 | 2005-12-08 |
1083697825 | Richard Jay Brody | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2005-11-25 |
1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
1891089629 | Katherine Picel | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-06-09 |
1720399553 | Ana Kadkhodayan | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2010-06-26 |
1356667984 | Justin Kyle Halbe | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2010-04-07 |
1508191552 | Healtheast Medical Research Institute | Internal Medicine | 1700 University Ave W, 6th Floor West, Saint Paul, MN 55104-3727 | 2009-10-08 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55102 |
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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.