DR. ELLIOT JAMES PRICE STEPHENSON


Address: 920 E 28th St, Minneapolis, MN 55407-1139
Phone: 6128636800

DR. ELLIOT JAMES PRICE STEPHENSON (NPI# 1770743858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770743858
Entity Type Individual
Full Name DR. ELLIOT JAMES PRICE STEPHENSON
Credential M.D.
Practice Address 920 E 28th St
Minneapolis
MN 55407-1139
Mailing Address 2925 Chicago Ave
Minneapolis
MN 55407-1321
Practice Telephone 6128636800
Mailing Telephone 6122621166
Enumeration Date 2008-06-12
Last Update Date 2016-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
58229 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1770743858 01

Office Location

Street Address 920 E 28TH ST
City MINNEAPOLIS
State MN
Zip Code 55407-1139

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033191200 Jason James Rasmussen Family Medicine 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 2005-11-15
1841737996 Allina Health System Surgery 920 E 28th St, Ste 460, Minneapolis, MN 55407-1139 2017-01-27
1407307077 Vanessa Rosen Physician Assistant 920 E 28th St, Suite #700, Minneapolis, MN 55407-1139 2016-10-19
1013392695 Joseph Michael Franchino Physician Assistant 920 E 28th St, Ste. 400, Minneapolis, MN 55407-1139 2015-07-24
1700293289 Lynelle Schneider Physician Assistant 920 E 28th St, Minneapolis, MN 55407-1139 2014-07-17
1366875486 Teresa A French Nurse Practitioner 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 2013-08-13
1679837413 Michelle Dawn Vanhove Nurse Practitioner 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 2012-06-26
1780945014 Leah Kuipers Nurse Practitioner 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 2012-06-04
1952676421 Amy Lyn Vandenberg Registered Nurse 920 E 28th St, Minneapolis, MN 55407-1139 2012-03-17
1235410705 Brittany Ann Bradley Physician Assistant 920 E 28th St, Suite 610, Minneapolis, MN 55407-1139 2011-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
Find all providers in zip 55407

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720025455 Rumi Faizer Surgery 314 Variety Club Research Center, 401 East River Parkway Division of Vascular Surgery, Minneapolis, MN 55455 2006-06-01
1700294311 Aleem Mirza Surgery 800 E 28th St, Minneapolis, MN 55407-3723 2014-07-28
1477840833 Yifei Sun Surgery 516 Delaware St Se, 11-132 Phillips-wangensteen Bldg., Minneapolis, MN 55455-0356 2011-07-06
1174812077 Xiaoyi Teng Surgery 2925 Chicago Ave, Minneapolis, MN 55407-1321 2011-03-31
1467688804 Javariah Asghar Surgery 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 2009-05-29
1831359983 Senthil Nathan Jayarajan Surgery 920 E 28th St Ste 300, Minneapolis, MN 55407-1195 2008-06-12
1508032129 Jessica M Titus Surgery 920 E 28th St, Suite300, Minneapolis, MN 55407-1139 2008-05-03
1184897043 Derrick Lamont Green Surgery 500 Harvard St Se, Minneapolis, MN 55455-0363 2008-04-10
1376730093 Jesse M Manunga Jr. Surgery 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 2007-09-26
1346328820 Jason Q. Alexander Surgery 920 E 28th St Ste 300, Minneapolis, MN 55407-1195 2006-11-01
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55407

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Dataset Information

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.

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