MILLENNIUM NEUROSURGERY, PA (NPI# 1851314868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851314868 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM NEUROSURGERY, PA |
| Practice Address |
1675 Beam Ave Suite 215 Maplewood MN 55109-1172 |
| Practice Telephone | 6517481461 |
| Mailing Telephone | 6517481461 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | DR. PHUDHIPHORN THIENPRASIT (PRESIDENT) |
| Authorized Official Telephone | 6517481461 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1473 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | CN3928 | 01 |
| Street Address |
1675 BEAM AVE SUITE 215 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151669 | Phudhiphorn Thienprasit | Neurological Surgery | 1675 Beam Ave, Ste 215, Maplewood, MN 55109-1172 | 2005-06-01 |
| 1134557432 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Suite 100, Maplewood, MN 55109-1172 | 2013-10-23 |
| 1255522769 | Jamie K Kirchoff | Audiologist | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172 | 2007-08-08 |
| 1760547269 | Amanda Jo Meixelsperger | Audiologist | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172 | 2006-12-26 |
| 1568565612 | Peter Hermann Mielke | Dentist | 1675 Beam Ave, #202, Maplewood, MN 55109 | 2006-09-06 |
| 1437251287 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Ste 100, Maplewood, MN 55109 | 2006-09-02 |
| 1730125162 | Anne Katherine Zowin | Audiologist | 1675 Beam Ave, 200, Maplewood, MN 55109 | 2006-06-22 |
| 1376589630 | Kelly Ann Veit | Audiologist | 1675 Beam Ave, #200, Maplewood, MN 55109 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144678244 | Joel Kaden | Specialist | 2438 Barclay St, Maplewood, MN 55109-2041 | 2016-05-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1164699955 | Ningning He | Specialist | 2040 Millburn Ave Ste 104, Maplewood, NJ 07040-3716 | 2008-05-12 |
| 1811036130 | Leon Sherman Dick | Specialist | 2232 Millburn Ave, Maplewood, NJ 07040-2605 | 2007-02-05 |
| 1972598829 | Winsome Joan Parchment | Specialist | 1973 Springfield Ave, Maplewood, NJ 07040-3435 | 2005-09-16 |
| 1508858440 | Kamalakar R. Ayyagari | Specialist | 2010 Springfield Ave, Maplewood, NJ 07040-3437 | 2005-08-17 |
| 1962863662 | Complete Kidney Care LLC | Specialist | 2130 Millburn Ave, Suite C11, Maplewood, NJ 07040-3725 | 2016-03-09 |
| 1770901845 | Leon Dick, Md Pa | Specialist | 2232 Millburn Ave, Maplewood, NJ 07040-2605 | 2014-04-04 |
| 1639487259 | Advanced Pain Care LLC | Specialist | 2040 Millburn Ave Ste 104, Maplewood, NJ 07040-3716 | 2010-09-16 |
| 1508020157 | Metropolitan Ob/gyn, P.a. | Specialist | 1973 Springfield Ave, Maplewood, NJ 07040-3435 | 2008-07-14 |
| Find all providers in MAPLEWOOD | ||||
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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.