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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
58229 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1770743858 | 01 |
Street Address |
920 E 28TH ST |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55407-1139 |
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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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 Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
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. |
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 |
City | MINNEAPOLIS |
Zip Code | 55407 |
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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.