SUSAN MARTYELDRIDGE (NPI# 1891729240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891729240 |
| Entity Type | Individual |
| Full Name | SUSAN MARTYELDRIDGE |
| Credential | D.C. |
| Practice Address |
5201 Eden Ave Ste 190 Edina MN 55436-2316 |
| Practice Telephone | 9529209721 |
| Practice Fax Number | 9522414355 |
| Mailing Telephone | 9529209721 |
| Mailing Fax Number | 9522414355 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1566 | MN | Chiropractic Providers |
| Street Address |
5201 EDEN AVE STE 190 |
| City | EDINA |
| State | MN |
| Zip Code | 55436-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348494 | Sonia Coelho Mosch | Clinical Neuropsychologist | 5201 Eden Ave, Ste 300, Edina, MN 55436-2315 | 2005-07-05 |
| 1912303777 | Licensed Dental Hygiene Care | Voluntary or Charitable | 5201 Eden Ave, Suite 50, Edina, MN 55436-2316 | 2014-11-06 |
| 1396145165 | Brittany Therese Shea | Audiologist | 5201 Eden Ave, Suite 50, Edina, MN 55436-2316 | 2014-08-29 |
| 1730450297 | Prischmann Facial Plastic Surgery, Pllc | Otolaryngology | 5201 Eden Ave, Suite 170, Edina, MN 55436-2316 | 2012-01-15 |
| 1427378892 | Lisa Jennie Berkeley | Audiologist-Hearing Aid Fitter | 5201 Eden Ave, Edina, MN 55436-2316 | 2010-06-08 |
| 1912133661 | Lara Renee Simmons | Audiologist | 5201 Eden Ave, Suite 50, Edina, MN 55436 | 2009-06-09 |
| 1023140357 | Allyson Adrianne Segar | Technician, Other | 5201 Eden Ave, Suite 130, Edina, MN 55436-2316 | 2007-03-12 |
| 1497845556 | Joleen Kay Samson | Chiropractor | 5201 Eden Ave, Ste. 190, Edina, MN 55436-2316 | 2006-10-12 |
| 1710996921 | Jaspreet K Prischmann | Otolaryngology | 5201 Eden Ave, Suite 170, Edina, MN 55436-2316 | 2006-08-05 |
| 1881624690 | Sara Starr Zoller | Technician, Other | 5201 Eden Ave, Suite #130, Edina, MN 55436-2316 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969206 | Beau Macmillan Bates | Chiropractor | 7400 Metro Blvd Ste 222, Edina, MN 55439-2321 | 2020-07-17 |
| 1942834734 | Gavin Bronson | Chiropractor | 5201 Eden Ave Ste 190, Edina, MN 55436-2368 | 2020-03-02 |
| 1750912291 | Jordan Shilts | Chiropractor | 4820 W 77th St Ste 150, Edina, MN 55435-4822 | 2020-02-03 |
| 1164916425 | Scott Eric Hawkins | Chiropractor | 7129 France Ave S, Edina, MN 55435-4304 | 2018-06-20 |
| 1992216295 | Vitality Life Chiropractic, LLC | Chiropractor | 7250 France Ave S, Ste 300a, Edina, MN 55435-4305 | 2017-10-13 |
| 1780112847 | Jessica Mae Boyles | Chiropractor | 7301 Ohms Ln Ste 430, Edina, MN 55439-2376 | 2017-06-01 |
| 1255798617 | Radiance Spine Injury & Wellness Center | Chiropractor | 7201 York Ave S Apt 1219, Edina, MN 55435-4447 | 2016-01-15 |
| 1912372772 | Sharon Williams Prahl | Chiropractor | 7600 Parklawn Ave Ste 349, Edina, MN 55435-5193 | 2015-12-04 |
| 1245616085 | Evan Natvig | Chiropractor | 6550 York Ave. S, Suite 303, Edina, MN 55435 | 2015-08-04 |
| 1144574880 | Christopher Bargmann | Chiropractor | 3925 W 50th St Ste 202, Edina, MN 55424-1247 | 2012-11-02 |
| Find all providers in EDINA | ||||
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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.