CROWN MEDICAL CENTER


Address: 1925 1st Ave S, Minneapolis, MN 55403-3724
Phone: 6128714354

CROWN MEDICAL CENTER (NPI# 1790747012) 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) 1790747012
Entity Type Organization
Organization Name CROWN MEDICAL CENTER
Practice Address 1925 1st Ave S
Minneapolis
MN 55403-3724
Practice Telephone 6128714354
Practice Fax Number 6126724343
Mailing Telephone 6128714354
Mailing Fax Number 6126724343
Enumeration Date 2006-04-03
Last Update Date 2020-08-22
Authorized Official Name CHIKE ONYEKABA (BUSINESS MANAGER)
Authorized Official Telephone 6128714354
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN MEDICA 0407266 01
MN METROPOLITAN HEALTH PLAN A044153 01
MN UCARE 136548 01
MN HEALTHPARTNERS 108584 01
MN BLUES 438R4CR 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093992810 Crown Medical Center Point of Service 7001 78th Ave N, Brooklyn Park, MN 55445-2783 2008-01-23
1588916282 Crown Medical Center Nurse Practitioner 1925 1st Ave S, Minneapolis, MN 55403-3724 2012-10-05

Office Location

Street Address 1925 1ST AVE S
City MINNEAPOLIS
State MN
Zip Code 55403-3724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871034645 Sarah Truso Registered Nurse 1925 1st Ave S, Minneapolis, MN 55403-3724 2017-03-13
1730546672 Crown Medical Support Services Clinic/Center 1925 1st Ave S, Minneapolis, MN 55403-3724 2016-01-22
1588916282 Crown Medical Center Nurse Practitioner 1925 1st Ave S, Minneapolis, MN 55403-3724 2012-10-05
1538342241 Crown Home Health Inc Skilled Nursing Facility 1925 1st Ave S, Minneapolis, MN 55403-3724 2007-12-17
1053496778 Jamen Margaret Parkey Physician Assistant 1925 1st Ave S, Minneapolis, MN 55403-3724 2006-10-25
1912947599 Crown Medical Center Inc. Clinic/Center 1925 1st Ave S, Minneapolis, MN 55403-3724 2006-06-08
1720045271 Joyce Ihioma Onyekaba Family Medicine 1925 1st Ave S, Minneapolis, MN 55403-3724 2006-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508312174 Afya Translation Corp Interpreter 1 E 19th Street, Suite 2, Minneapolis, MN 55403 2016-09-01
1891146692 Alicia Kornacker Doula 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 2016-06-23
1437506417 Zahra Roble Nurse Practitioner 1801 Nicolllet Ave S, Minneapolis, MN 55403 2016-05-19
1063871259 Vicky Smiley-turner Counselor 1523 Nicollet Ave. South, Minneapolis, MN 55403 2016-02-16
1326449026 Lowry Hill Psychotherapy and Assessment Center Psychologist 1910 Hennepin Ave S, Minneapolis, MN 55403 2014-09-12
1285062372 Cheryl Patterson Marriage & Family Therapist 1725 2nd Ave So, Minneapolis, MN 55403 2013-10-29
1598101156 Sherri M Dunham Counselor 1200 S Marquette Ave, Minneapolis, MN 55403 2013-05-21
1831533173 Laura Farley Young Social Worker 1925 Nicollet Ave S, Minneapolis, MN 55403 2013-04-17
1275801797 Elizabeth Ann Hamer Counselor 1717/1725 2nd Ave. So., Minneapolis, MN 55403 2011-12-12
1679859185 Accord Medical Inc Durable Medical Equipment & Medical Supplies 1815 Nicollet Ave, Minneapolis, MN 55403 2011-10-27
Find all providers in zip 55403

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861032054 David Gregg Internal Medicine 5305 Humboldt Ave S, Minneapolis, MN 55419 2020-01-15
1316454077 Independent Medical Clinic Pa Internal Medicine 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 2018-01-03
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1841650306 Megan Mcgovern Internal Medicine 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 2016-02-26
1700266079 Jacob Wagner Internal Medicine D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 2015-06-02
1659750503 Melissa Ann Plesac Internal Medicine 500 Harvard St Se # 741, Minneapolis, MN 55455 2015-05-26
1033503040 Elizabeth Stanton Teter Aby Internal Medicine 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 2015-03-27
1780002592 Annie M Jacobsen Internal Medicine 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 2014-03-31
1386066173 Michael Usher Internal Medicine 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 2014-01-13
1356684609 Anteneh Girma Zewde Internal Medicine 87 Orlin Ave Se, Minneapolis, MN 55414-3560 2013-04-04
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55403

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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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