FAMILY HEALTHSERVICES MINNESOTA, P.A.


Address: 4786 Banning Ave, White Bear Lake, MN 55110-3264
Phone: 6514266402

FAMILY HEALTHSERVICES MINNESOTA, P.A. (NPI# 1639359359) 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) 1639359359
Entity Type Organization
Organization Name FAMILY HEALTHSERVICES MINNESOTA, P.A.
Other Organization Name ENTIRA FAMILY CLINICS-WHITE BEAR LAKE-BANNING AVENUE
Practice Address 4786 Banning Ave
White Bear Lake
MN 55110-3264
Mailing Address 2025 Sloan Pl
Suite 35
Saint Paul
MN 55117-2007
Practice Telephone 6514266402
Practice Fax Number 6514293402
Mailing Telephone 6517721572
Mailing Fax Number 6517721889
Enumeration Date 2007-11-09
Last Update Date 2012-05-21
Authorized Official Name PAUL BERRISFORD (COO)
Authorized Official Telephone 6517721572
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1428 MN Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Entira Family Clinics-White Bear Lake-Banning Avenue Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124206677 Family Healthservices Minnesota, P.a. Family Medicine 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 2008-02-07
1427190537 Family Healthservices Minnesota, P.a. Non-Pharmacy Dispensing Site 1814 N Saint Paul Rd, Maplewood, MN 55109-4700 2007-02-13
1588807895 Family Healthservices Minnesota, P.a. Non-Pharmacy Dispensing Site 234 Wentworth Ave E, West St Paul, MN 55118-3525 2009-04-16
1528248259 Family Healthservices Minnesota, P.a. Family Medicine 3550 Labore Rd, Suite 7, Saint Paul, MN 55110-7505 2007-11-09
1437339165 Family Healthservices Minnesota, P.a. Family Medicine 3220 Bellaire Ave, White Bear Lake, MN 55110-5854 2007-11-09
1538349253 Family Healthservices Minnesota, P.a. Family Medicine 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 2007-11-09
1790965424 Family Healthservices Minnesota, P.a. Family Medicine 2056 Woodlane Dr, Woodbury, MN 55125-2917 2007-11-09
1629258348 Family Healthservices Minnesota, P.a. Family Medicine 1540 Randolph Ave, Saint Paul, MN 55105-2535 2007-11-09
1538349261 Family Healthservices Minnesota, P.a. Family Medicine 1814 N Saint Paul Rd, Maplewood, MN 55109-4700 2007-11-09
1801076526 Family Healthservices Minnesota, P.a. Family Medicine 234 Wentworth Ave E, West St Paul, MN 55118-3525 2007-11-09

Office Location

Street Address 4786 BANNING AVE
City WHITE BEAR LAKE
State MN
Zip Code 55110-3264

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831141886 Ann M Barry Family Medicine 4786 Banning Ave, White Bear Lake, MN 55110 2006-05-17
1346713476 Maria Elizabeth Cook Physician Assistant 4786 Banning Ave, White Bear Lake, MN 55110-3264 2019-01-11
1982077061 Nicole Altstatt Nurse Practitioner 4786 Banning Ave, White Bear Lake, MN 55110-3264 2015-11-11
1730520008 Nicole Marie Harvey Physician Assistant 4786 Banning Ave, White Bear Lake, MN 55110-3264 2013-07-15
1366751562 Minnesota Institute for Pain Management, LLC Physical Medicine & Rehabilitation 4786 Banning Ave, White Bear Lake, MN 55110-3264 2010-10-05
1356668123 Stacy Marie Smith Physician Assistant 4786 Banning Ave, White Bear Lake, MN 55110-3264 2010-05-03
1871710988 Minnhealth Family Physicians, P.a. Family Medicine 4786 Banning Ave, White Bear Lake, MN 55110-3264 2007-04-19
1720120645 Family Healthservices Minnesota, P.a Non-Pharmacy Dispensing Site 4786 Banning Ave, White Bear Lake, MN 55110-3264 2007-02-14
1972510634 David C Thorson Family Medicine 4786 Banning Ave, White Bear Lake, MN 55110-3264 2006-08-02
1063428746 Carol K Stark Family Medicine 4786 Banning Ave, White Bear Lake, MN 55110-3264 2006-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467071084 St. Catherine University School Based Health Clinic Nurse Practitioner 5045 Division Ave, White Bear Lake, MN 55110 2020-04-14
1922450618 Lisa Marie Thatcher Podiatrist 4653 White Bear Pkwy., St. Paul, MN 55110 2016-07-06
1558725598 White Bear Dentists, PC Dentist 1970 Buerkle Road, White Bear Lake, MN 55110 2016-04-06
1124486246 Julie Blaske Counselor 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 2016-02-03
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1821496969 Leah Eichmiller Acupuncturist 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 2014-12-05
1447672084 Ashley Rath Chiropractor 1247 Gun Club Rd., White Bear Lake, MN 55110 2014-01-16
1790121291 Advanced Medical Home Care, LLC Home Health 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 2013-05-11
1134468465 Emergency Physicians Professional Association Clinic/Center 1159 E. County Road E, Vadnais Heights, MN 55110 2013-02-06
1639444284 Rebecca Lynn Blaede Counselor 4858 Banning Avenue, White Bear Lake, MN 55110 2012-03-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295349280 Anna Dalrymple Family Medicine 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 2020-09-07
1477797264 Patrick Thomas Dornack Family Medicine 2555 County Road E E, White Bear Lake, MN 55110-4906 2009-04-24
1700897881 John P Hamerly Family Medicine 3220 Bellaire Ave, White Bear Lake, MN 55110-5854 2006-08-11
1831141886 Ann M Barry Family Medicine 4786 Banning Ave, White Bear Lake, MN 55110 2006-05-17
1720030083 Teresa A Pena Family Medicine 4525 White Bear Pkwy, Suite 130, White Bear Lake, MN 55110-7651 2006-05-16
1992772354 Danielle R Perry Family Medicine 4422 White Bear Ave, White Bear Lake, MN 55110 2006-03-03
1245205301 Jennifer A Lake Family Medicine 4422 White Bear Ave N, White Bear Lake, MN 55110-3475 2006-02-22
1437150877 Aalfa Family Practice Pa Family Medicine 4465 White Bear Pkwy, White Bear Lake, MN 55110-7626 2005-08-09
1699126169 Tou Lee Xiong Family Medicine 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2016-06-27
1669882791 Jenna Keller Family Medicine 1430 Highway 96 E, White Bear Lake, MN 55110-3653 2014-04-28
Find all providers in WHITE BEAR LAKE

Competitor

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City WHITE BEAR LAKE
Zip Code 55110

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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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