JENNIFER OLDHAM (NPI# 1578514212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578514212 |
| Entity Type | Individual |
| Full Name | JENNIFER OLDHAM |
| Credential | MD |
| Practice Address |
401 Phalen Blvd - Ms 41102a Healthpartners Specialty Center 401 St. Paul MN 55130-5302 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512547560 |
| Practice Fax Number | 6512547564 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 6512547564 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 46816 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 701140700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568764157 | Jennifer Leigh Oldham | Occupational Therapist | 57 Tandberg Trail, Windham, ME 04062-6425 | 2010-12-02 |
| 1790100089 | Jennifer Oldham | Nurse Practitioner | 1203 Smizer Mill Rd, Fenton, MO 63026-3483 | 2014-02-24 |
| 1295995801 | Jennifer Bass Oldham | Speech-Language Pathologist | 4104 Lambeth Dr, Raleigh, NC 27609-5800 | 2008-06-17 |
| 1912113168 | Jennifer Deluca Oldham | Psychiatry & Neurology | 650 Laurel St, Culpeper, VA 22701-3910 | 2007-05-15 |
| Street Address |
401 PHALEN BLVD - MS 41102A HEALTHPARTNERS SPECIALTY CENTER 401 |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588707137 | Jennifer C Koziol Wozniak | Allergy & Immunology | 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558534990 | Sarah Margaret Nicolai | Allergy & Immunology | 401 Phalen Boulevard, Mailstop 41102a, St. Paul, MN 55130-5302 | 2008-04-07 |
| 1588707137 | Jennifer C Koziol Wozniak | Allergy & Immunology | 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1346495397 | Harry Arvid Swedlund | Allergy & Immunology | 730 11th St Sw, Rochester, MN 55902-6339 | 2008-11-18 |
| 1417027822 | James D Lakin | Allergy & Immunology | 350 W Burnsville Pkwy, Suite 200, Burnsville, MN 55337-2585 | 2006-11-09 |
| 1417032160 | Amy Rillo Ellingson | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
| 1952401804 | St Paul Allergy & Asthma Clinic P.a. | Allergy & Immunology | 565 S Snellng Ave, Saint Paul, MN 55116-1525 | 2006-09-22 |
| 1073619680 | Family Allergy & Asthma Specialists Pa | Allergy & Immunology | 2906 Upper 55th St, Inver Grove Heights, MN 55076-1673 | 2006-09-15 |
| 1366558843 | Barry I Alper | Allergy & Immunology | North Clinic 3366 Oakdale Ave No, Suite 315, Robbinsdale, MN 55422-2948 | 2006-08-21 |
| 1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
| 1881657872 | Jay Jiekuen Lou | Allergy & Immunology | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-04-10 |
| 1376536920 | Brian A Brennan | Allergy & Immunology | 400 E 1st St, Morris, MN 56267-1408 | 2005-08-30 |
| 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.