DR. MARISSA ANNE HENDRICKSON


Address: 401 E River Pkwy, Pediatric Emergency Medicine, 76 Vcrc, Minneapolis, MN 55455-0368
Phone: 6126256678

DR. MARISSA ANNE HENDRICKSON (NPI# 1770797151) 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) 1770797151
Entity Type Individual
Full Name DR. MARISSA ANNE HENDRICKSON
Credential M.D.
Practice Address 401 E River Pkwy
Pediatric Emergency Medicine, 76 Vcrc
Minneapolis
MN 55455-0368
Practice Telephone 6126256678
Practice Fax Number 6126261144
Mailing Telephone 6126256678
Mailing Fax Number 6126261144
Enumeration Date 2007-05-09
Last Update Date 2008-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
50851 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 401 E RIVER PKWY
PEDIATRIC EMERGENCY MEDICINE, 76 VCRC
City MINNEAPOLIS
State MN
Zip Code 55455-0368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760897417 Hirak Shah Internal Medicine 401 E River Pkwy, Minneapolis, MN 55455-0368 2014-06-20
1386969327 David Anthony Wacker Emergency Medicine 401 E River Pkwy, Suite 350, Vcrc, Minneapolis, MN 55455-0368 2010-04-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
Find all providers in zip 55455

Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235526336 Nicholas Sausen Pediatrics 2450 Riverside Ave, Minneapolis, MN 55454-1450 2015-04-16
1770800260 Meghann Ronning Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2010-04-23
1407084205 Jonathan Ryhs Strutt Pediatrics 2450 Riverside Avenue, M653 East Building, Minneapolis, MN 55454 2009-06-30
1821224940 Anna Marie Depompolo Pediatrics 2525 Chicago Ave South, 32-1488, Minneapolis, MN 55404 2009-06-03
1396989166 Kara Katherine Seaton Pediatrics 2525 Chicago Ave S, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404 2009-04-23
1710157631 Thomas M. Skrypek Pediatrics 2525 Chicago Ave, Minneapolis, MN 55404-4518 2008-03-06
1518980267 David Hirschman Pediatrics 701 Park Ave, G7, Minneapolis, MN 55415-1623 2006-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275681611 Tracy L Ricke Pediatrics 3360 S Coon Creek Dr, Andover, MN 55304-3220 2007-01-08
1033555370 Amy Rebecca Borden Pediatrics 345 Smith Ave N, Saint Paul, MN 55102-2346 2013-05-14

Competitor

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City MINNEAPOLIS
Zip Code 55455

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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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