JANNICA L GROOM (NPI# 1831162395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831162395 |
| Entity Type | Individual |
| Full Name | JANNICA L GROOM |
| Credential | MD |
| Practice Address |
401 Phalen Boulevard Mail Stop 41 St Paul MN 55101-5302 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6512547670 |
| Practice Fax Number | 6512547676 |
| Mailing Telephone | 9528835790 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
41292 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
401 PHALEN BOULEVARD MAIL STOP 41 |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225047624 | Rebecca A Straub | Dietitian, Registered | 401 Phalen Boulevard, Mail Stop 41103f, St Paul, MN 55101-5302 | 2006-08-05 |
| 1811964117 | David Wendell Johnson | Ophthalmology | 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 | 2006-03-06 |
| 1023084084 | Jerry L Kobrin | Ophthalmology | 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101-5302 | 2006-02-28 |
| 1265408629 | Mario R Quinones | Psychiatry & Neurology | 401 Phalen Boulevard, Mail Stop 41104c, St Paul, MN 55101-5302 | 2006-02-27 |
| 1063487924 | Rebecca M Koerner | Physical Medicine & Rehabilitation | 401 Phalen Boulevard, Mail Stop 41104e, St Paul, MN 55101-5302 | 2006-02-22 |
| 1306811500 | Melissa B King-biggs | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-21 |
| 1336114040 | Elie Gertner | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41103a, St Paul, MN 55101-5302 | 2006-02-17 |
| 1831163328 | Avi Nahum | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-14 |
| 1760455216 | Patricia M Stewart | Physical Medicine & Rehabilitation | 401 Phalen Boulevard, Mail Stop 41104e, St Paul, MN 55101-5302 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306811500 | Melissa B King-biggs | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-21 |
| 1912971771 | Eric J Korbach | Internal Medicine | 401 Phalen Blvd, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-16 |
| 1831163328 | Avi Nahum | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-14 |
| 1982678405 | Krista K Graven | Internal Medicine | 401 Phalen Blvd, Mail Stop 41102d, St Paul, MN 55101-5302 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548789910 | Sleepmedrx LLC | Internal Medicine | 7701 York Ave S Ste 100, Edina, MN 55435-5849 | 2017-09-16 |
| 1033354097 | Norman G Hepper | Internal Medicine | 1809 Hiawatha Ct Ne, Rochester, MN 55906-8014 | 2008-12-04 |
| 1841447083 | John Mcdougall | Internal Medicine | 1460 75th St Ne, Rochester, MN 55906-8903 | 2008-08-19 |
| 1396867909 | Abbie Lynn Begnaud | Internal Medicine | 516 Delaware Street, Clinic 6a, Umphysicians Medicine Specialties Clinic, Minneapolis, MN 55455 | 2007-04-04 |
| 1114068863 | Northwind Lung Specialists, P.a. | Internal Medicine | 3758 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2629 | 2007-02-08 |
| 1679593925 | Joan Mk Fox | Internal Medicine | 920 E 28th St # St5, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1871534214 | James W Leatherman | Internal Medicine | 701 Park Ave S, S1, Minneapolis, MN 55415-1623 | 2006-06-09 |
| 1649225012 | Conrad Iber | Internal Medicine | 606 24th Avenue South, Suite 106, Ump Sleep Medicine Clinic, Minneapolis, MN 55454-1437 | 2006-05-24 |
| 1194700864 | Sue Ann Ravenscraft | Internal Medicine | Park Nicollet Clinic Meadowbrook, 6490 Excelsior Blvd # W300, St Louis Park, MN 55426 | 2005-12-14 |
| 1326426818 | Synaptrx Sleep, LLC | Internal Medicine | 5565 Blaine Ave, Ste 225 / 275, Inver Grove Heights, MN 55076-1238 | 2015-05-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JANNICA L GROOM.
| 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.