TIMOTHY L. PRUETT (NPI# 1659402873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659402873 |
| Entity Type | Individual |
| Full Name | TIMOTHY L. PRUETT |
| Credential | M.D. |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Mailing Address |
720 Washington Ave Se University of Minnesota Physicians Minneapolis MN 55414 |
| Practice Telephone | 6126727422 |
| Mailing Telephone | (612) 884-0649 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | 0101040520 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007398778 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699832618 | Timothy James Pruett | Dentist | 15820 Dora Ave, Suite A, Tavares, FL 32778 | 2007-01-02 |
| 1972645117 | Timothy O Pruett | Nurse Practitioner | 1900 S National Ave, Suite 3600, Springfield, MO 65804-2265 | 2007-02-13 |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346477171 | Paul Anthony Stahler | Transplant Surgery | 825 S 8th St Ste 800, Minneapolis, MN 55404-1219 | 2009-06-19 |
| 1306920657 | Arthur Jeremy Matas | Transplant Surgery | 516 Delaware Street Se, Clinic 2a, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-24 |
| 1083844146 | Varvara A Kirchner | Transplant Surgery | 420 Delaware St Se, Mayo Mc 195, Minneapolis, MN 55455-0341 | 2009-07-22 |
| 1255540498 | Vanessa R Humphreville | Transplant Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2007-05-22 |
| 1760557524 | John S. Najarian | Transplant Surgery | University of Minnesota Physicians, 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455 | 2006-11-21 |
| 1033120456 | Arthur L Ney | Transplant Surgery | 701 Park Ave, P5, Minneapolis, MN 55415-1623 | 2006-08-10 |
| 1376579698 | Srinath Chinnakotla | Transplant Surgery | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2006-06-26 |
| 1700849486 | Erik B. Finger | Transplant Surgery | 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455-0356 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462136 | Philippe Paci | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-08-14 |
| 1669996310 | Ek Khoon Tan | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-08-02 |
| 1386195220 | Mohammed Faisal A Shaheen | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-10-15 |
| 1053622142 | Donald Gerald Odhiambo Mitema | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-06-23 |
| 1720246580 | Tayyab S Diwan | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-05-29 |
| 1407997943 | Timucin Taner | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-02-09 |
| 1255319513 | Mikel Prieto | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905 | 2006-01-06 |
| 1225016025 | Julie K Heimbach | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-03 |
| 1033197744 | Scott L. Nyberg | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-03 |
| 1952388829 | Mark D Stegall | Transplant Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-30 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on TIMOTHY L. PRUETT.
| 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.