JAY JIEKUEN LOU (NPI# 1881657872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881657872 |
| Entity Type | Individual |
| Full Name | JAY JIEKUEN LOU |
| Credential | M.D. |
| Practice Address |
4625 Churchill St Suite 211 Shoreview MN 55126-5868 |
| Practice Telephone | 6517659800 |
| Practice Fax Number | 6517659801 |
| Mailing Telephone | 6517659800 |
| Mailing Fax Number | 6517659801 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 38717 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 375175000 | 05 | |
| MEDICARE RAILROAD | P00098375 | 01 |
| Street Address |
4625 CHURCHILL ST SUITE 211 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045940 | Kristian Olson | Physical Therapist | 4625 Churchill St, Suite 204, Shoreview, MN 55126-5868 | 2011-08-17 |
| 1790073815 | Proeyecare Associates Pa | Ophthalmology | 4625 Churchill St, Suite 210, Shoreview, MN 55126-5868 | 2011-07-11 |
| 1104115534 | Debra Lyn Vevea | Dietitian, Registered | 4625 Churchill St, Suite 110, Shoreview, MN 55126 | 2011-04-06 |
| 1619122884 | Urology Associates, Ltd. | Urology | 4625 Churchill St, Suite 110, Shoreview, MN 55126-5868 | 2008-12-01 |
| 1659556306 | Instep Foot Clinc, P.a. | Podiatrist | 4625 Churchill St, Suite 201, Shoreview, MN 55126-5868 | 2007-12-31 |
| 1730271693 | David Robert Dunphy | Dentist | 4625 Churchill St, Suite 205, Shoreview, MN 55126 | 2006-09-29 |
| 1215041025 | Kelly Lynne Roberts | Physical Therapist | 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 | 2006-08-18 |
| 1891729737 | Allergy, Asthma and Immunology Clinic, P.a. | Clinic/Center | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1346495397 | Harry Arvid Swedlund | Allergy & Immunology | 730 11th St Sw, Rochester, MN 55902-6339 | 2008-11-18 |
| 1417027822 | James D Lakin | Allergy & Immunology | 350 W Burnsville Pkwy, Suite 200, Burnsville, MN 55337-2585 | 2006-11-09 |
| 1417032160 | Amy Rillo Ellingson | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
| 1952401804 | St Paul Allergy & Asthma Clinic P.a. | Allergy & Immunology | 565 S Snellng Ave, Saint Paul, MN 55116-1525 | 2006-09-22 |
| 1073619680 | Family Allergy & Asthma Specialists Pa | Allergy & Immunology | 2906 Upper 55th St, Inver Grove Heights, MN 55076-1673 | 2006-09-15 |
| 1366558843 | Barry I Alper | Allergy & Immunology | North Clinic 3366 Oakdale Ave No, Suite 315, Robbinsdale, MN 55422-2948 | 2006-08-21 |
| 1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
| 1578514212 | Jennifer Oldham | Allergy & Immunology | 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-05-15 |
| 1376536920 | Brian A Brennan | Allergy & Immunology | 400 E 1st St, Morris, MN 56267-1408 | 2005-08-30 |
| Find all providers with the same taxonomy | ||||
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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.