ROBERT KETROSER (NPI# 1740268960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740268960 |
| Entity Type | Individual |
| Full Name | ROBERT KETROSER |
| Credential | M.D. |
| Practice Address |
6405 France Avenue South, Suite W200 Edina MN 55435 |
| Practice Telephone | 9529249005 |
| Practice Fax Number | 9529240330 |
| Mailing Telephone | 9529249005 |
| Mailing Fax Number | 9529240330 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2012-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26267 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6405 FRANCE AVENUE SOUTH, SUITE W200 |
| City | EDINA |
| State | MN |
| Zip Code | 55435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1457470155 | Bilal Shaukat Ali | Internal Medicine | 5121 W 59th St, Edina, MN 55436-2612 | 2007-03-27 |
| 1194792978 | Elizabeth Klodas | Internal Medicine | 6545 France Avenue S., Suite 125, Edina, MN 55435 | 2006-03-01 |
| 1679551998 | Elizabeth Z Grey | Internal Medicine | 7373 France Ave S Ste 204, Edina, MN 55435-4538 | 2006-01-06 |
| 1497732804 | Steven Heifetz | Internal Medicine | 6405 France Ave S Ste, W200, Edina, MN 55435 | 2005-12-28 |
| 1801873294 | James Erdahl | Internal Medicine | 6405 France Avenue, Ste W200, Edina, MN 55435 | 2005-12-27 |
| 1861479370 | Stephen Battista | Internal Medicine | 6405 France Avenue S, Ste W200, Edina, MN 55435 | 2005-12-27 |
| 1710972864 | Demosthenes N Iskos | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2005-09-14 |
| 1265436505 | Laura A. Diamandopoulos | Internal Medicine | 6405 France Ave S Ste W200, Edina, MN 55435-2186 | 2005-06-01 |
| 1174989560 | Northern Veins, P.a. | Internal Medicine | 6565 France Ave S, Suite 101, Edina, MN 55435-2137 | 2016-01-14 |
| 1174889661 | Joseph Thomas Knapper | Internal Medicine | 6401 France Ave S, Edina, MN 55435-2104 | 2012-04-09 |
| Find all providers in EDINA | ||||
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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.