NICHOLAS L MENTH (NPI# 1649513995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649513995 |
| Entity Type | Individual |
| Full Name | NICHOLAS L MENTH |
| Credential | MD |
| Practice Address |
4300 Marketpointe Dr Ste 100 Bloomington MN 55435 |
| Mailing Address |
4300 Marketpointe Dr Ste 100 Bloomington MN 55435-5435 |
| Practice Telephone | 9528359880 |
| Practice Fax Number | 9528571554 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2018-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 59938 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4300 MARKETPOINTE DR STE 100 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634226 | Luis A Martinez | Emergency Medicine | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 | 2006-01-18 |
| 1710517669 | Brittney Marie Joachim | Nurse Practitioner | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2020-01-20 |
| 1306476460 | Monica Le | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2020-01-16 |
| 1063062552 | Nicole E Lipinski | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2019-09-17 |
| 1205486636 | Joseph James Eisenschenk | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2019-09-17 |
| 1275183063 | Brita Koivisto | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2019-09-13 |
| 1972153765 | Emily Bayles | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2019-09-13 |
| 1518528751 | Rachel Marie Kierski | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2019-06-27 |
| 1295207454 | Ryan Davies Steele | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2018-12-27 |
| 1013488865 | Haley Johnson | Physician Assistant | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710181664 | Obidike Richard Akahara | Emergency Medicine | 1129 Devonshire Curv, Bloomington, MN 55431-5016 | 2007-06-13 |
| 1801826235 | M Allan Griffith | Emergency Medicine | 1701 East College Ave, Bloomington, IL 61701 | 2006-07-03 |
| 1639109945 | Emergency Medicine Professionals of Indiana LLC | Emergency Medicine | 4011 So Monroe Medical Park Blvd, Bloomington, IN 47403-9765 | 2006-07-03 |
| 1326076654 | David Gill | Emergency Medicine | 24 Conway Cir, Bloomington, IL 61704-8285 | 2006-06-28 |
| 1184691362 | Steven Timothy Tvedte | Emergency Medicine | 5409 Mount Normandale Curv, Bloomington, MN 55437-1019 | 2006-03-07 |
| 1598730152 | Carson R Harris | Emergency Medicine | 8040 Old Cedar Ave S Ste 100, Bloomington, MN 55425-1205 | 2006-02-17 |
| 1962474809 | Jonathan D Slater | Emergency Medicine | 2705 Degarmo Dr, Bloomington, IL 61704-9177 | 2006-02-04 |
| 1487634226 | Luis A Martinez | Emergency Medicine | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 | 2006-01-18 |
| 1043297278 | Ronald C Jenson | Emergency Medicine | 4794 Red Oak Ln, Bloomington, IN 47401-9100 | 2005-12-29 |
| 1801871934 | Emergency Physicians Professional Association | Emergency Medicine | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435-5435 | 2005-12-13 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55435 |
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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.