DR. JOHANNES CHRISTIAAN COETZEE (NPI# 1891729000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891729000 |
| Entity Type | Individual |
| Full Name | DR. JOHANNES CHRISTIAAN COETZEE |
| Credential | MB, CHB, MD |
| Practice Address |
4010 W 65th St Edina MN 55435-1706 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 9524567000 |
| Practice Fax Number | 9524567001 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
41848 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962628206 | Johannes Hendrik Coetzee | Preventive Medicine | 7720 Us Hwy 98, 340, Destin, FL 32550 | 2007-04-17 |
| Street Address |
4010 W 65TH ST |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
| 1164029419 | Carli Marie Walker | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-08 |
| 1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
| 1922657501 | Chase William Hanson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-09-06 |
| 1427610120 | Megan Lee Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-07-02 |
| 1902384159 | Kathleen Ann Heimer | Occupational Therapist | 4010 W 65th St, Edina, MN 55435 | 2018-07-31 |
| 1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
| 1548761729 | Kaitlyn Ann Lindahl | Occupational Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2018-02-23 |
| 1386161552 | Breanna Nicole Smith | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2017-08-28 |
| 1891218095 | Christopher Andrew Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872159 | Lance Michael Silverman | Orthopaedic Surgery | 6600 France Ave S, Ste 605, Edina, MN 55435-1807 | 2005-06-21 |
| 1730390238 | Jeffrey Daniel Seybold | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629242979 | Jessica M Downes | Orthopaedic Surgery | 701 Park Ave B, Henepin County Medical Center, Minneapolis, MN 55415 | 2008-04-17 |
| 1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
| 1780882662 | John Clinton Tanner IIi | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-03 |
| 1154390417 | Dennis John Callahan | Orthopaedic Surgery | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-03-17 |
| 1912984915 | Ross Paskoff | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-30 |
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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.