MINNEAPOLIS PLASTIC SURGERY LTD (NPI# 1730156274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730156274 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS PLASTIC SURGERY LTD |
| Practice Address |
4825 Olson Memorial Hwy #200 Minneapolis MN 55422 |
| Practice Telephone | 7635450443 |
| Practice Fax Number | 7635452784 |
| Mailing Telephone | 7635450443 |
| Mailing Fax Number | 7635452784 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD H THOLEN (PRESIDENT) |
| Authorized Official Telephone | 7635450443 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
788 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA INS CLINIC | 9813016 | 01 |
| Street Address |
4825 OLSON MEMORIAL HWY #200 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104893643 | Richard H Tholen | Plastic Surgery | 4825 Olson Memorial Hwy, Suite 200, Minneapolis, MN 55422 | 2006-03-03 |
| 1497069678 | Kelsey Marit Hamilton | Physician Assistant | 4825 Olson Memorial Hwy, Suite 201, Minneapolis, MN 55422 | 2010-07-30 |
| 1801864814 | Douglas L Gervais | Plastic Surgery | 4825 Olson Memorial Hwy, #200, Minneapolis, MN 55422 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344810 | Kovanda Aesthetic Surgery | Surgery | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | 2020-07-29 |
| 1518484930 | Allina Health System | Surgery | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-08-25 |
| 1891722260 | Kipton J V Lundquist | Surgery | 701 Park Ave, P5, Minneapolis, MN 55415-1623 | 2006-06-28 |
| 1770527277 | George L Peltier | Surgery | 701 Park Ave, P5, Minneapolis, MN 55415-1623 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
| 1427248210 | Dr. Jonathan Witzke, Pa | Surgery | 7373 France Ave S Ste 510, Edina, MN 55435-4551 | 2007-07-27 |
| 1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
| 1124046933 | John A Ness | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2006-07-18 |
| 1790778090 | James Philip Wire | Surgery | 3000 Hundertmark Rd, Suite 6, Chaska, MN 55318-1150 | 2005-08-23 |
| 1578569539 | Richard S Werner | Surgery | 6545 France Ave. S, Suite 276, Edina, MN 55435 | 2005-06-24 |
| 1730182270 | George Harold Landis | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2005-05-29 |
| 1851991079 | Omni Medical Center Pllc | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2020-10-27 |
| 1679885164 | Harrington Plastic Surgery, Pa | Surgery | 7373 France Ave S, 510, Edina, MN 55435-4534 | 2010-07-13 |
| 1447484159 | Kovanda Plastic Surgery, Pllc | Surgery | 4999 France Ave S Ste 210, Edina, MN 55410-2168 | 2009-05-08 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55422 |
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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.