DR. JADE GARRETT ANDERSON (NPI# 1720098064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720098064 |
| Entity Type | Individual |
| Full Name | DR. JADE GARRETT ANDERSON |
| Credential | M.D. |
| Practice Address |
480 Osborne Rd Ne Suite 220 Fridley MN 55432-2773 |
| Mailing Address |
2550 University Ave W Ste 110n Saint Paul MN 55114-2001 |
| Practice Telephone | 7637861620 |
| Practice Fax Number | 7637803099 |
| Mailing Telephone | 6516025309 |
| Mailing Fax Number | 6512226786 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
42135 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 500T4AN | 01 |
| MN | UCARE | 143482 | 01 |
| MN | 946423900 | 05 | |
| MN | PREFERRED ONE | 963001032272 | 01 |
| MN | HEALTH PARTNERS | HP32508 | 01 |
| MN | SELECT CARE | 3600554 | 01 |
| MN | 3600554 | 3600554 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871941252 | Jade Arielle Anderson | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Ohio State University Wexner Medical, Columbus, OH 43210-1280 | 2016-05-26 |
| Street Address |
480 OSBORNE RD NE SUITE 220 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528671 | Multicare Associates of The Twin Cities,pa | Obstetrics & Gynecology | 480 Osborne Rd Ne, Suite 100, Fridley, MN 55432-2773 | 2005-09-13 |
| 1063923233 | Christina Louise Ann Her | Occupational Therapist | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-10-16 |
| 1972039527 | North Memorial Health Care | Clinic/Center | 480 Osborne Rd Ne, #100, Fridley, MN 55432-2773 | 2017-05-02 |
| 1619401270 | Betlehem Semahge | Family Medicine | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-04-20 |
| 1588035612 | Yelena Babashova | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2015-10-15 |
| 1285014811 | Nura Pa | Durable Medical Equipment & Medical Supplies | 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 | 2015-06-09 |
| 1194105841 | Pain Centers of Minnesota - Fridley, LLC | Clinic/Center | 480 Osborne Rd Ne, Suite 260, Fridley, MN 55432-2773 | 2015-06-08 |
| 1003215542 | Alison Gardner | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2014-08-20 |
| 1629408687 | Danielle Elizabeth Nelson | Physician Assistant | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2013-11-12 |
| 1043646029 | Patrick David Carlson | Physical Therapist | 480 Osborne Rd Ne, #280, Fridley, MN 55432-2773 | 2013-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356585442 | Minnesota Oncology Hematology, Pa | Internal Medicine | 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432 | 2009-04-21 |
| 1417049396 | David Mark King | Internal Medicine | 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432-2281 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160368 | Lee Newcomer | Internal Medicine | 15011 Woods Edge, Minnetonka, MN 55345-2900 | 2016-04-25 |
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1043423437 | Alexander A Levitan | Internal Medicine | 2051 Long Lake Road, New Brighton, MN 55112-5166 | 2007-05-08 |
| 1972690113 | Gail P. Bender, M.d.,p.a. | Internal Medicine | 6490 Excelsior Blvd Ste W106, St Louis Park, MN 55426-4741 | 2006-10-09 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1255300885 | Nicole L Hartung | Internal Medicine | 110105 Pioneer Trl W Ste 302, Chaska, MN 55318-2680 | 2006-03-16 |
| 1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
| 1346213097 | Bret Edward Buckley Friday | Internal Medicine | 400 East 3rd St, Duluth, MN 55805 | 2006-02-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1205827466 | Mark D Hauge | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2005-11-04 |
| Find all providers with the same taxonomy | ||||
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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.