MICHAEL THOMAS BADER (NPI# 1720006422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720006422 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS BADER |
| Credential | MD |
| Practice Address |
9145 Springbrook Dr Nw Suite 200 Coon Rapids MN 55433-5885 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
30340 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184689804 | Michael Bader | Internal Medicine | 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3644 | 2006-04-18 |
| Street Address |
9145 SPRINGBROOK DR NW SUITE 200 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361283 | April B Grudell | Internal Medicine | 9145 Springbrook Dr Nw, Coon Rapids, MN 55433-5885 | 2006-01-19 |
| 1518200286 | Dental Specialists of Minnesota, Pllc | Dentist | 9145 Springbrook Dr Nw, Suite 100, Coon Rapids, MN 55433-5885 | 2013-04-01 |
| 1730365016 | Emily Heitz | Physician Assistant | 9145 Springbrook Dr Nw, Suite 200, Coon Rapids, MN 55433-5885 | 2008-01-16 |
| 1831392554 | Michelle Marie Douvier | Physician Assistant | 9145 Springbrook Dr Nw, Coon Rapids, MN 55433-5885 | 2007-06-08 |
| 1821164963 | Pdg,p.a. | Dentist | 9145 Springbrook Dr Nw, Suite 100, Coon Rapids, MN 55433-5885 | 2006-11-28 |
| 1275505018 | Neville Basman | Internal Medicine | 9145 Springbrook Dr Nw, Suite 200, Coon Rapids, MN 55433-5885 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013980440 | Zongyu J Chen | Internal Medicine | 9145 Springbrook Dr, #200, Coon Rapids, MN 55433-5897 | 2006-02-08 |
| 1841630506 | James A Vancura | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886 | 2013-06-26 |
| 1437445970 | Michael X Min | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433 | 2011-06-23 |
| 1295020253 | Raghuwansh P Sah | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886 | 2011-06-17 |
| 1831480292 | Conrad Flynn Engler | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433 | 2011-04-20 |
| 1144454711 | Nouredin Alebouyeh | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886 | 2009-05-11 |
| 1275505018 | Neville Basman | Internal Medicine | 9145 Springbrook Dr Nw, Suite 200, Coon Rapids, MN 55433-5885 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1780829440 | Albert Dallas Newcomer | Internal Medicine | 437 Eagle Ln Sw, Rochester, MN 55902-4137 | 2008-12-10 |
| 1528215415 | Ronald F Kettering | Internal Medicine | 1635 11th Ave Ne, Rochester, MN 55906-4266 | 2008-08-21 |
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1265609085 | Jeffrey Sanders | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2008-05-12 |
| 1467640482 | Metropolitan Gastrointestinal Specialists | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2007-10-04 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.