WAYFORTH CLINICAL SERVICES LLC (NPI# 1588137640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588137640 |
Entity Type | Organization |
Organization Name | WAYFORTH CLINICAL SERVICES LLC |
Practice Address |
401 Harding St Ne Ste 200 Minneapolis MN 55413-2801 |
Mailing Address |
401 Harding St Ne Ste 100 Minneapolis MN 55413-2801 |
Practice Telephone | 6515710000 |
Practice Fax Number | 8448390303 |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-02-26 |
Authorized Official Name | NICHOLAS J SCHNEEMAN (CEO) |
Authorized Official Telephone | 7636700040 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | SPECIALIZED MEDICAL RESPONSE, LLC |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
401 HARDING ST NE STE 200 |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55413-2801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
Find all providers in zip 55413 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811139264 | Charles D Townes | Family Medicine | 16 Meadow Ln S, Minneapolis, MN 55416-3403 | 2009-04-01 |
1447203187 | Ruth O Szajner | Family Medicine | 701 Park Ave # S5, Minneapolis, MN 55415-1623 | 2006-05-17 |
1093131419 | Geriatric Services of Minnesota, LLC | Family Medicine | 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1761 | 2014-03-10 |
1619066545 | Kenneth N Kephart | Family Medicine | 2615 East Franklin Avenue, Minneapolis, MN 55406 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942766423 | Moments Palliative Care LLC | Family Medicine | 820 Lilac Dr N Ste 210, Golden Valley, MN 55422-4754 | 2019-02-20 |
1891174751 | Hra-iq PC | Family Medicine | 4600 W 77th St, #355, Edina, MN 55435-4909 | 2015-05-26 |
1477943421 | Optum Medical Services of Colorado, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-29 |
1093702235 | Asma Khalid | Family Medicine | 621 S 4th St, Le Sueur, MN 56058-2203 | 2005-10-03 |
1750917985 | Marisa L Felker | Family Medicine | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2020-03-19 |
1588028161 | Joshua M Baruth | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-08 |
1528458486 | Optum Medical Services of California, P.C. | Family Medicine | 13625 Technology Dr, Eden Prairie, MN 55344-2252 | 2015-01-30 |
1346657160 | Fairview Health Services | Family Medicine | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2014-07-14 |
1952669525 | Kasey Lynn Kapella | Family Medicine | 3605 Mayfair Ave, Hibbing, MN 55746-2935 | 2012-05-02 |
1871866095 | Neha Sharma | Family Medicine | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2012-02-18 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55413 |
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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.