DR. SANDRA LOUISE HYVARINEN DAVENPORT (NPI# 1912044918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912044918 |
Entity Type | Individual |
Full Name | DR. SANDRA LOUISE HYVARINEN DAVENPORT |
Credential | M.D. |
Practice Address |
6109 W 105th St Bloomington MN 55438-1833 |
Practice Telephone | 9528315522 |
Practice Fax Number | 9528310381 |
Mailing Telephone | 9528315522 |
Mailing Fax Number | 9528310381 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-09-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
29543 | MN | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 29543 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 2034451 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487801155 | Sandra Davenport | Physician Assistant | 1 Penn Plz # 6195, New York, NY 10119-0002 | 2008-08-25 |
Street Address |
6109 W 105TH ST |
City | BLOOMINGTON |
State | MN |
Zip Code | 55438-1833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
Find all providers in zip 55438 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
1316595531 | Karthik Muthusamy | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-08-30 |
1841686573 | Amy Nicole Lebedoff | Medical Genetics | 2525 Chicago Ave S, Minneapolis, MN 55404-4518 | 2015-04-09 |
1124432885 | Anjali Aggarwal | Medical Genetics | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-19 |
1104172584 | Noelle Andrea Ventura Fabie | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2012-08-03 |
1376899203 | Eva Morava-kozicz | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-30 |
1932429917 | Vikas Bhambhani | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-06-01 |
1568697829 | Pavel N. Pichurin | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-05-15 |
1114185154 | Marcelo Paul Vargas | Medical Genetics | Mayo Clinic, Rochester, MN 55905-0001 | 2008-05-27 |
1598964595 | Brendan Coe Lanpher | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-11 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 55438 |
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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.