PETER I KARACHUNSKI (NPI# 1720176308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720176308 |
| Entity Type | Individual |
| Full Name | PETER I KARACHUNSKI |
| Credential | MD |
| Practice Address |
2450 Riverside Ave Se Minneapolis MN 55455-5545 |
| Mailing Address |
2450 Riverside Ave Se Minneapolis MN 55454-1450 |
| Practice Telephone | 6123656777 |
| Practice Fax Number | 6123658021 |
| Mailing Telephone | 6123656777 |
| Mailing Fax Number | 6123658021 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
47339 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA-CHOICE | 05-00682 | 01 | |
| ARAZ | 2378185 | 01 | |
| IA | 0595983 | 05 | |
| U CARE | 135153 | 01 | |
| WI | 34668100 | 05 | |
| FAIRVIEW CAREGIVER ID | 23954-1 | 01 | |
| MT | 0144625 | 05 | |
| PREFERRED ONE | 1044949 | 01 | |
| MN | BLUE CROSS BLUE SHIELD | 497K2KA | 01 |
| HEALTH PARTNERS | HP54585 | 01 | |
| MEDICA-PRIMARY | 05-00144 | 01 | |
| CHAMPUS | C002 | 01 |
| Street Address |
2450 RIVERSIDE AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
| 1669890745 | Ashish Gupta | Pediatrics | 2450 Riverside Ave Se, Minneapolis, MN 55454 | 2014-04-04 |
| 1538369871 | Emily Greengard | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-07-24 |
| 1396861217 | Jodell E Dahl | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454-0341 | 2007-03-22 |
| 1407903156 | Weston Peter Miller Iv | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-01-04 |
| 1881771947 | Margaret L Macmillan | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-11-01 |
| 1366534273 | Jonathan B Jensen | Psychiatry & Neurology | 2450 Riverside Ave Se, 2a West, Minneapolis, MN 55454-1450 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1801836127 | Sanjiv Kumra | Psychiatry & Neurology | 2312 S 6th St, Suite F256/2b W, Minneapolis, MN 55454-1336 | 2006-06-07 |
| 1437566437 | Chiamaka Perditta Nwankiti | Psychiatry & Neurology | 2450 Riverside Ave South, Minneapolis, MN 55455 | 2014-07-22 |
| 1558776930 | Raghu Gandhi | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-24 |
| 1235419631 | Narendran Mavinakayinahalli Neelakantachar | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-17 |
| 1801100102 | Catherine Jordan Steingraeber | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2010-07-29 |
| 1346484227 | Diana Marie Pandey | Psychiatry & Neurology | 800 E 28th St, Mr 12301, Minneapolis, MN 55407-3723 | 2009-04-23 |
| 1467507152 | William R Dikel | Psychiatry & Neurology | 1313 Penn Ave N, Minneapolis, MN 55411-3047 | 2007-01-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on PETER I KARACHUNSKI.
| 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.