DR. STEVE MANDIEKA


Address: 10800 Lyndale Ave S Ste 114, Bloomington, MN 55420-2611
Phone: 9524790172

DR. STEVE MANDIEKA (NPI# 1700229028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700229028
Entity Type Individual
Full Name DR. STEVE MANDIEKA
Practice Address 10800 Lyndale Ave S Ste 114
Bloomington
MN 55420-2611
Mailing Address 1816 Granite Dr
Shakopee
MN 55379-2900
Practice Telephone 9524790172
Practice Fax Number 9525165393
Mailing Telephone 9524790814
Mailing Fax Number 9525165393
Enumeration Date 2013-04-17
Last Update Date 2020-05-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP 2097 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10800 LYNDALE AVE S STE 114
City BLOOMINGTON
State MN
Zip Code 55420-2611

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1801055959 Sarah J. Marsden Speech-Language Pathologist 900 W 94th St., Bloomington, MN 55420 2008-06-04
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1922295203 Cornerstone Advocacy Service Community/Behavioral Health 1000 East 80th St, Bloomington, MN 55420 2007-10-01
1184769457 Fairview Oxboro Pharmacy Mtm Non-Pharmacy Dispensing Site 600 W 98th Street, Bloomington, MN 55420 2007-02-21
1891831723 A Caring Company, Inc. In Home Supportive Care 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 2007-01-29
1134279318 Jennifer Mary Connelly Speech-Language Pathologist 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 2007-01-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578162509 Mckenzie Mcadaragh Nurse Practitioner 10924 Girard Curve, Bloomington, MN 55431 2020-10-21
1609343128 Katy Jo Northcutt Nurse Practitioner 1130 S Veterans Parkway, Bloomington, IL 61704-7117 2018-11-02
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1073061552 David Wells Nurse Practitioner 8100 Northland Dr., Bloomington, MN 55431 2016-09-14
1720532005 Antonia Jacqueline Abrahamsen Nurse Practitioner 2009 E Oakland Ave, Bloomington, IL 61701-5756 2016-08-04
1144538380 Julie Ann Whelan Nurse Practitioner 8642 Wood Cliff Cir S, Bloomington, MN 55438-1514 2010-09-22
1386877413 Carrie Hines Nurse Practitioner 4444 W State Road 46, Bloomington, IN 47404-9691 2009-08-24
1962634154 Mark Stock Nurse Practitioner 9401 James Ave S Ste 162, Bloomington, MN 55431-2549 2009-08-20
1104911791 Carla Mcgee Nurse Practitioner 600 North Jordan Avenue, Bloomington, IN 47405-3191 2006-10-03
1154429439 Theresa Ann Bock Nurse Practitioner 455 S Landmark Ave, Bloomington, IN 47403-5004 2006-09-20
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Competitor

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City BLOOMINGTON
Zip Code 55420

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Dataset Information

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.

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