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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
50851 | MN | Allopathic & Osteopathic Physicians |
Street Address |
401 E RIVER PKWY PEDIATRIC EMERGENCY MEDICINE, 76 VCRC |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55455-0368 |
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 |
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 Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
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. |
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 |
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 |
City | MINNEAPOLIS |
Zip Code | 55455 |
Please comment or provide details below to improve the information on DR. MARISSA ANNE HENDRICKSON.
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.