DR. ROMAN GABRIEL GUERRERO-MAESTRE (NPI# 1598103913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598103913 |
| Entity Type | Individual |
| Full Name | DR. ROMAN GABRIEL GUERRERO-MAESTRE |
| Credential | M.D. |
| Practice Address |
15700 37th Ave N Ste 150 Plymouth MN 55446-3675 |
| Practice Telephone | 6519685201 |
| Mailing Telephone | 6519685201 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 63761 | MN | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
63761 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
15700 37TH AVE N STE 150 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1992330401 | Chelsie Rachelle Richards | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2020-03-04 |
| 1548821622 | Ryan Heisler | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2019-06-27 |
| 1932626025 | Cynthia C Konrath | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2017-08-29 |
| 1295288660 | Ashley Renee Aydt | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446 | 2016-08-02 |
| 1447600283 | Brendan Murphy | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-06-13 |
| 1053779215 | Summit Orthopedics, Ltd | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-02-03 |
| 1386012466 | Britta K Rosenow | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2015-09-08 |
| 1548650278 | Johnathan R Furzland | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2015-02-03 |
| 1225437965 | Allison K Buth | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605925 | Philip Jeffery Mayer | Orthopaedic Surgery | 9389 N Haggerty Rd, Plymouth, MI 48170-4622 | 2006-07-05 |
| 1235529272 | Ilbnc, P.a. | Orthopaedic Surgery | 15700 37th Avenue North, Suite 210, Plymouth, MN 55446-3662 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863316 | John G. Stark M.d.p.a. | Orthopaedic Surgery | 825 Nicollet Mall Ste 715, Minneapolis, MN 55402-2613 | 2007-10-31 |
| 1740220466 | Thomas Vincent Rieser | Orthopaedic Surgery | 1950 Curve Crest Blvd W Ste 130, Stillwater, MN 55082-6062 | 2006-06-08 |
| 1598712788 | Glenn Robin Buttermann | Orthopaedic Surgery | 1835 County Road C W Ste 150, Roseville, MN 55113-1343 | 2006-05-31 |
| 1649220849 | Garry M Banks | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2006-05-11 |
| 1114989555 | Sunny S Kim | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-04-03 |
| 1023001815 | Ilbnc, P.a. | Orthopaedic Surgery | 3001 Metro Dr, Suite 330, Bloomington, MN 55425-4506 | 2005-08-26 |
| 1881690493 | Daniel W Hanson | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2005-06-28 |
| 1336765098 | Inspired Spine Surgcenter LLC | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-06-18 |
| 1427686575 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-04-01 |
| 1205481041 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2019-08-08 |
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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.