DR. SUSAN JOYCE CUSHMAN (NPI# 1740286400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740286400 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JOYCE CUSHMAN |
| Credential | M.D. |
| Practice Address |
14001 Ridgedale Dr Ste 200 Minnetonka MN 55305-1753 |
| Practice Telephone | 9522492000 |
| Practice Fax Number | 9522492099 |
| Mailing Telephone | 9522492000 |
| Mailing Fax Number | 9522492099 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
30673 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 250090600 | 05 |
| Street Address |
14001 RIDGEDALE DR STE 200 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306383609 | Kathryn Gestach | Physician Assistant | 14001 Ridgedale Dr, Suite 100, Minnetonka, MN 55305-1753 | 2017-01-24 |
| 1447610241 | Kayla Jean Schonhardt | Registered Nurse | 14001 Ridgedale Dr, Suite 100, Minnetonka, MN 55305-1753 | 2016-03-07 |
| 1639552136 | Advanced Care Chiropractic P.a. | Chiropractor | 14001 Ridgedale Dr, Suite 390, Minnetonka, MN 55305-1753 | 2015-07-01 |
| 1639599970 | Jessie Arnason | Pediatrics | 14001 Ridgedale Dr, #100, Minnetonka, MN 55305-1781 | 2014-04-25 |
| 1316383789 | Danielle Marie Thelen | Nurse Practitioner | 14001 Ridgedale Dr, #100, Minnetonka, MN 55305-1781 | 2013-05-13 |
| 1942645601 | Madeline Streitz Pokorney Goeden | Pediatrics | 14001 Ridgedale Dr, Suite 100, Minnetonka, MN 55305-1753 | 2013-05-07 |
| 1265779714 | Anna M Bennett | Specialist/Technologist, Other | 14001 Ridgedale Dr, Suite 200, Minnetonka, MN 55305-1753 | 2013-01-03 |
| 1346512639 | Ent & Sleep Clinics Minnesota LLC | Otolaryngology | 14001 Ridgedale Dr, Suite 330, Minnetonka, MN 55305-1753 | 2012-02-01 |
| 1255623203 | Advanced Care Chiropractic P.a. | Chiropractor | 14001 Ridgedale Dr, Suite 390, Minnetonka, MN 55305-1753 | 2011-05-10 |
| 1780838102 | Rebekah Ann Roverud | Physician Assistant | 14001 Ridgedale Dr, #200, Minnetonka, MN 55305-1753 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609028521 | William Meyer | Obstetrics & Gynecology | 6517 Cherokee Trl, Edina, MN 55439-1108 | 2008-10-22 |
| 1083658181 | Kimberly Anne Gerten | Obstetrics & Gynecology | 6565 France Ave S Ste 200, Edina, MN 55435-2141 | 2006-06-16 |
| 1568401313 | Jerald W Reinhardt | Obstetrics & Gynecology | 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 | 2006-06-06 |
| 1255339883 | Kenneth M Palmer | Obstetrics & Gynecology | 1650 4th St Se, Rochester, MN 55904-4717 | 2005-07-08 |
| 1114333754 | Fairview Health Services | Obstetrics & Gynecology | 7450 France Ave S, Suite 240, Edina, MN 55435-4792 | 2014-07-03 |
| 1457648065 | Marie C Nelson | Obstetrics & Gynecology | 811 2nd St Se, Little Falls, MN 56345-3559 | 2011-07-03 |
| 1770878928 | Jill A Moes | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-06-16 |
| 1427366814 | Leigh F Bauer | Obstetrics & Gynecology | 320 E Main St, Ob/gyn Dept, Crosby, MN 56441-1645 | 2010-09-20 |
| 1649398546 | Women's Health & Laser Aesthetic Center, LLC | Obstetrics & Gynecology | 7250 France Ave S, Suite 102, Edina, MN 55435-4305 | 2007-03-27 |
| 1285700344 | James Byron Presthus | Obstetrics & Gynecology | 7450 France Ave S, Suite 240, Edina, MN 55435-4787 | 2006-11-28 |
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| City | MINNETONKA |
| Zip Code | 55305 |
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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.