GROUP HEALTH PLAN INC (NPI# 1699829697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699829697 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH PLAN INC |
| Other Organization Name | HEALTHPARTNERS BLAINE DENTAL CLINIC |
| Practice Address |
10961 Club West Pkwy Blaine MN 55449-4671 |
| Mailing Address |
8100 34th Ave S 21113a Bloomington MN 55425-1672 |
| Practice Telephone | 7637801292 |
| Practice Fax Number | 9529675311 |
| Mailing Telephone | 9528835151 |
| Mailing Fax Number | 9528835160 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHLEEN M COONEY (CAO) |
| Authorized Official Telephone | 9528837565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| HealthPartners Blaine Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1982764130 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 1210 County Road E, Arden Hills, MN 55112 | 2006-12-11 |
| 1861507980 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 9700 W 76th St Ste 106, Eden Prairie, MN 55344-4200 | 2006-08-20 |
| 1861507972 | Group Health Plan Inc | Pharmacy | 1665 Utica Ave. South Ste 100, St Louis Park, MN 55416 | 2006-08-20 |
| 1871534628 | Group Health Plan Inc | Hospice Care, Community Based | 8101 33rd Avenue, Mailstop 26002a, Bloomington, MN 55425 | 2006-06-10 |
| 1750833471 | Group Health Plan Inc | Pharmacy | 9700 W 76th St Ste 106, Eden Prairie, MN 55344-4200 | 2016-10-28 |
| 1063963577 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2016-10-19 |
| 1427420181 | Group Health Plan Inc | Clinic/Center | 411 Stageline Rd, #200, Hudson, WI 54016 | 2015-10-21 |
| Street Address |
10961 CLUB WEST PKWY |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447205810 | Mary Bhavsar | Ophthalmology | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2006-05-24 |
| 1437774957 | Brian J Helmrick | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2020-06-10 |
| 1912364134 | Fairview Health Services | Clinic/Center | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2016-01-19 |
| 1528466372 | Carissa Fleek | Specialist/Technologist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2014-12-10 |
| 1740683192 | Ann Studniski | Specialist/Technologist | 10961 Club West Pkwy, Suite 200, Blaine, MN 55449-5866 | 2014-09-30 |
| 1366855629 | Charles Joseph Kopp | Optometrist | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2014-06-04 |
| 1912332271 | Tec LLC | Eyewear Supplier (Equipment, not the service) | 10961 Club West Pkwy, Suite 130, Blaine, MN 55449-5866 | 2013-09-05 |
| 1831456953 | Jonathan Raphael Snitzer | Anesthesiology | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2012-04-13 |
| 1780962381 | Andrea Lewis | Physical Therapist | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-07-30 |
| 1114210036 | Joseph Miles Palmquist | Physician Assistant | 10961 Club West Pkwy, Blaine, MN 55449-5866 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396398160 | Taylor Johnson | Dentist | 10155 University Ave Ne Ste 112, Blaine, MN 55434-8058 | 2019-07-22 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| 1982007803 | Blaine Dentistry, PC | Dentist | 1384 109th Ave Ne, Suite 200, Blaine, MN 55434-4515 | 2014-10-06 |
| 1063725109 | Melstrom Dental Pllc | Dentist | 11949 Central Ave Ne, Blaine, MN 55434-3911 | 2010-07-19 |
| 1861703639 | Choong Hyun Lee | Dentist | 341 C Street, Blaine, WA 98230 | 2010-06-28 |
| 1982930525 | John Charles Hitzemann | Dentist | 11354 Wildwood Ct Ne, Blaine, MN 55449-5901 | 2009-11-01 |
| 1477763092 | Donald Lyle Rathe | Dentist | 341 C . St., Blaine, WA 98230 | 2007-05-23 |
| 1154546877 | Carlos Ernesto Campodonico | Dentist | 11806 Aberdeen St Ne Ste 150, Blaine, MN 55449-4748 | 2007-04-16 |
| 1093842841 | Peixin Liu Dds | Dentist | 2407 109th Avenue, Suite 240, Blaine, MN 55449 | 2007-02-28 |
| 1134266869 | John Harold Troselius | Dentist | 9120 Baltimore St Ne, Blaine, MN 55449-4337 | 2007-01-31 |
| Find all providers in BLAINE | ||||
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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.