DR. CHASE WALTER SHUTAK (NPI# 1811332844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811332844 |
| Entity Type | Individual |
| Full Name | DR. CHASE WALTER SHUTAK |
| Credential | MD, MPH |
| Practice Address |
2530 Chicago Ave Ste 309 Minneapolis MN 55404-4289 |
| Mailing Address |
2530 Chicago Ave Ste 390 Minneapolis MN 55404-4289 |
| Practice Telephone | 6128136107 |
| Mailing Telephone | 6128136107 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 60339 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2530 CHICAGO AVE STE 309 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1265894463 | Adam David Langenfeld | Pediatrics | 717 Delaware St Se Fl 3, Minneapolis, MN 55414 | 2016-03-26 |
| 1568858132 | Joseph Resch | Pediatrics | 2450 Riverside Ave, 5th Floor East Building, 8951g (campus Delivery Code), Minneapolis, MN 55454-1450 | 2015-04-10 |
| 1295120020 | Lauren Michelle Yauch | Pediatrics | 2512 S 7th St Fl 3, Minneapolis, MN 55454-1404 | 2015-03-30 |
| 1669870374 | Mary Lois Hall | Pediatrics | 3500 Humboldt Ave S, Minneapolis, MN 55408-3316 | 2014-12-11 |
| 1821433731 | Megan Van Ee Hilgers | Pediatrics | 2530 Chicago Ave Ste 175, Minneapolis, MN 55404-4289 | 2013-05-06 |
| 1619222197 | Abdul Kadir Abdi | Pediatrics | 2525 Chicago Ave Ste 390, Minneapolis, MN 55404-4518 | 2012-07-19 |
| 1174812770 | Alissa Farrell | Pediatrics | 2220 Riverside Ave # Ms 21700a, Minneapolis, MN 55454-1321 | 2011-04-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.