NORTH METRO PEDIATRICS PA (NPI# 1659323459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323459 |
| Entity Type | Organization |
| Organization Name | NORTH METRO PEDIATRICS PA |
| Practice Address |
10081 Dogwood St. Nw Suite 100 Coon Rapids MN 55448 |
| Practice Telephone | 7637833722 |
| Practice Fax Number | 7637837944 |
| Mailing Telephone | 7637833722 |
| Mailing Fax Number | 7637837944 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-02-01 |
| Authorized Official Name | CONNIE SUE BLACKWELL (CEO) |
| Authorized Official Telephone | 7637833722 |
| Authorized Official Credential | RN, CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 312S6N0 | 01 |
| MN | 463988000 | 05 |
| Street Address |
10081 DOGWOOD ST. NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447527767 | Allina Health System | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 220, Coon Rapids, MN 55433-2589 | 2011-12-01 |
| 1811293269 | Allina Health System | Clinic/Center | 3960 Coon Rapids Blvd Nw Ste 200, Coon Rapids, MN 55433-2589 | 2011-02-02 |
| 1457657256 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 | 2011-01-27 |
| 1952931818 | Rehab Massage Specialists Inc | Clinic/Center | 8770 Springbrook Dr Nw, Coon Rapids, MN 55433-6099 | 2020-01-20 |
| 1982979100 | Shanna C Miller, Dc Pllc | Clinic/Center | 11417 Hanson Blvd Nw, St 101, Coon Rapids, MN 55433-3993 | 2012-03-21 |
| 1295031649 | Allina Health System | Clinic/Center | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2011-02-02 |
| 1649576091 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433-2583 | 2011-02-02 |
| 1255596839 | Harrison Chiropractic | Clinic/Center | 8770 Springbrook Dr Nw, Suite 100, Coon Rapids, MN 55433-6099 | 2008-07-23 |
| 1114192275 | Cara Ellen Walcheck | Clinic/Center | 9055 Springbrook Dr Nw, Suite 3b, Coon Rapids, MN 55433-5841 | 2008-04-29 |
| 1366639460 | Allina Health System | Clinic/Center | 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568 | 2007-10-02 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
Please comment or provide details below to improve the information on NORTH METRO PEDIATRICS PA.
| 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.