DR. JAMES PHILIP WIRE (NPI# 1790778090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790778090 |
Entity Type | Individual |
Full Name | DR. JAMES PHILIP WIRE |
Credential | M.D. |
Practice Address |
3000 Hundertmark Rd Suite 6 Chaska MN 55318-1150 |
Practice Telephone | 9524428045 |
Practice Fax Number | 9525562658 |
Mailing Telephone | 9524428045 |
Mailing Fax Number | 9525562658 |
Enumeration Date | 2005-08-23 |
Last Update Date | 2007-07-08 |
NPI Deactivation Date | 03/27/2006 |
NPI Reactivation Date | 2006-04-03 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
43087 | MN | Allopathic & Osteopathic Physicians |
Street Address |
3000 HUNDERTMARK RD SUITE 6 |
City | CHASKA |
State | MN |
Zip Code | 55318-1150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982119707 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2017-12-04 |
1417315235 | Medical Advanced Pain Specialists, Pa | Durable Medical Equipment & Medical Supplies | 3000 Hundertmark Rd, Suite 250, Chaska, MN 55318-1150 | 2016-02-08 |
1003272980 | Pain Centers of Minnesota - Chaska, LLC | Clinic/Center | 3000 Hundertmark Rd, Suite 200, Chaska, MN 55318-1150 | 2016-01-08 |
1740595370 | Marsha C Panthera | Dietitian, Registered | 3000 Hundertmark Rd, Suite 2, Chaska, MN 55318-1150 | 2010-08-06 |
1619103777 | Michelle B. Motto | Dietitian, Registered | 3000 Hundertmark Rd, Suite 2, Chaska, MN 55318-1150 | 2009-06-03 |
1396866794 | Karen Elizabeth Karn | General Practice | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2007-04-03 |
1689725392 | Ridgeview Clinics | Otolaryngology | 3000 Hundertmark Rd, Suite 11, Chaska, MN 55318-1150 | 2007-01-16 |
1952467250 | David D Nerothin | Anesthesiology | 3000 Hundertmark Rd, Suite 3, Chaska, MN 55318-1150 | 2006-12-29 |
1861561417 | Bonita L Hill | Family Medicine | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-07 |
1821177502 | Lorene E Rutherford | Pediatrics | 3000 Hundertmark Rd, Chaska, MN 55318-1150 | 2006-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
Find all providers in zip 55318 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295344810 | Kovanda Aesthetic Surgery | Surgery | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | 2020-07-29 |
1457519571 | Frank L Wolf Md Pa | Surgery | 324 West Superior Street, Suite 1025, Duluth, MN 55802-1777 | 2008-05-27 |
1427248210 | Dr. Jonathan Witzke, Pa | Surgery | 7373 France Ave S Ste 510, Edina, MN 55435-4551 | 2007-07-27 |
1144248956 | Thomas L Satterberg | Surgery | 3701 12th Street N, Suite 100, St Cloud, MN 56303 | 2006-07-18 |
1124046933 | John A Ness | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2006-07-18 |
1578569539 | Richard S Werner | Surgery | 6545 France Ave. S, Suite 276, Edina, MN 55435 | 2005-06-24 |
1730182270 | George Harold Landis | Surgery | 109 Bushaway Rd, Suite 200, Wayzata, MN 55391-1945 | 2005-05-29 |
1851991079 | Omni Medical Center Pllc | Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2020-10-27 |
1518484930 | Allina Health System | Surgery | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-08-25 |
1679885164 | Harrington Plastic Surgery, Pa | Surgery | 7373 France Ave S, 510, Edina, MN 55435-4534 | 2010-07-13 |
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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.