HEALTHEAST MEDICAL RESEARCH INSTITUTE (NPI# 1689616716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689616716 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Other Organization Name | HEALTHEAST MAPLEWOOD CLINIC |
| Practice Address |
2945 Hazelwood St Ste 100 Maplewood MN 55109 |
| Mailing Address |
2945 Hazelwood St Ste 100 Maplewood MN 55109-1242 |
| Practice Telephone | 6512327800 |
| Practice Fax Number | 6512327826 |
| Mailing Telephone | 6512327800 |
| Mailing Fax Number | 6512327826 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DANIEL FROMM (CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | 0841630011 | 01 |
| MN | 640716100 | 05 |
| Other Name | Type Code |
|---|---|
| HealthEast Maplewood Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1720230089 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 14688 Everton Ave., Suite 101, Hugo, MN 55038 | 2008-10-17 |
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1801842729 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 6936 Pine Arbor Drive South, Suite 100, Cottage Grove, MN 55016-3007 | 2006-05-25 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1053620187 | Healtheast Medical Research Institute | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2010-10-07 |
| 1508191552 | Healtheast Medical Research Institute | Internal Medicine | 1700 University Ave W, 6th Floor West, Saint Paul, MN 55104-3727 | 2009-10-08 |
| 1194987735 | Healtheast Medical Research Institute | Hospitalist | 45 West 10th Street, Saint Paul, MN 55102-1004 | 2008-06-25 |
| 1578723383 | Healtheast Medical Research Institute | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-06-16 |
| Street Address |
2945 HAZELWOOD ST STE 100 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144718917 | Stephanie Aldrin | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2018-04-27 |
| 1649798463 | Benjamin Beuchler | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2017-08-31 |
| 1285150193 | Matthew Sanocki | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-08-22 |
| 1275066813 | Saleha Raajpoot | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-11 |
| 1104359843 | Madeline Paul | Pediatrics | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-10 |
| 1730621467 | Christin Radtke | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-11-11 |
| 1992256382 | Kelly Jean Hedblad | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-10-20 |
| 1396134763 | Kara Wheeler | Dietitian, Registered | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2015-01-22 |
| 1609288828 | Kahoua Caroline Lochungvu | Internal Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2014-05-22 |
| 1659707289 | Colleen Lynn Quesnell | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1013460468 | Premier Healthcare Group | Clinic/Center | 90 Midland Blvd, Maplewood, NJ 07040-1810 | 2016-08-02 |
| 1932640380 | Asya Rivinson, Lcsw, PC | Clinic/Center | 697 Valley St Ste B1, Maplewood, NJ 07040-2645 | 2017-03-19 |
| 1780094128 | Asya Rivinson Lcsw PC | Clinic/Center | 697 Valley St, Suite B1, Maplewood, NJ 07040-2641 | 2014-05-07 |
| 1144526930 | Allina Health System | Clinic/Center | 1850 Beam Ave, Maplewood, MN 55109-1162 | 2011-01-27 |
| 1942443379 | Family First Chiropractic & Wellness Center | Clinic/Center | 2485 Maplewood Dr, Suite 215, Maplewood, MN 55109-1978 | 2009-04-15 |
| 1285809590 | Fairview Health Services | Clinic/Center | 2355 Ariel St N, Ste B, Maplewood, MN 55109-2275 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
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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.