KYLE GREGORY HALVORSON (NPI# 1740507490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740507490 |
| Entity Type | Individual |
| Full Name | KYLE GREGORY HALVORSON |
| Credential | M.D. |
| Practice Address |
2530 Chicago Ave Minneapolis MN 55404-4289 |
| Mailing Address |
5901 Lincoln Drive Cbc-2-rev/pe Edina MN 55436-1611 |
| Practice Telephone | 6512205230 |
| Mailing Telephone | (952) 992-5691 |
| Mailing Fax Number | 9529926917 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 62144 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295700268 | Kyle M Halvorson | Ophthalmology | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-02-22 |
| Street Address |
2530 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816505 | Children's Respiratory & Critical Care Specialists. P.a. | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4570 | 2005-07-26 |
| 1104364116 | Hadi Mohseni-bod | Pediatrics | 2530 Chicago Ave, Suite 400, Minneapolis, MN 55404-4289 | 2017-02-09 |
| 1427406453 | Kali Juliette | Genetic Counselor, MS | 2530 Chicago Ave, Specialty Center Genetics, Suite 560, Minneapolis, MN 55404-4289 | 2016-05-31 |
| 1760843825 | Geoffrey Beek | Genetic Counselor, MS | 2530 Chicago Ave, Suite 560, Minneapolis, MN 55404-4289 | 2016-03-16 |
| 1144695487 | Jesse Peterson | Pharmacist | 2530 Chicago Ave, Suite 270, Minneapolis, MN 55404-4289 | 2015-12-12 |
| 1861880874 | Teresa Marie Herriage | Nurse Practitioner | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-12-27 |
| 1720496789 | Carolyn Louise Hanna | Physician Assistant | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-07-22 |
| 1114347499 | Razaan Nadiya Byrne | Pediatrics | 2530 Chicago Ave, Suite 390, Minneapolis, MN 55404-4289 | 2014-04-24 |
| 1437571833 | Anna Alyse Essendrup | Genetic Counselor, MS | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2014-01-20 |
| 1083043442 | Chelsea Kimlinger | Audiologist | 2530 Chicago Ave, Minneapolis, MN 55404-4289 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
| 1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
| 1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
| 1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
| 1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
| 1114900966 | Eric John Decuir | Neurological Surgery | 913 E 26th St, Suite 305 Piper Building, Minneapolis, MN 55404-4515 | 2005-11-25 |
| 1932193083 | Daniel James Guillaume | Neurological Surgery | 516 Delaware Street Se, Ump Neurosurgery Clinic, Minneapolis, MN 55455 | 2005-09-06 |
| 1326334889 | Andrew S Venteicher | Neurological Surgery | 909 Fulton St Se, Minneapolis, MN 55455 | 2011-06-23 |
| 1770878993 | Joshua Lim | Neurological Surgery | 420 Delaware St Se, Mmc 96, Room D429, Minneapolis, MN 55455-0341 | 2011-06-15 |
| 1447550876 | Walter Lee Bailey | Neurological Surgery | 500 River St, Minneapolis, MN 55401 | 2010-11-02 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.