NEIGHBORHOOD HEALTHSOURCE (NPI# 1942572763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942572763 |
| Entity Type | Organization |
| Organization Name | NEIGHBORHOOD HEALTHSOURCE |
| Other Organization Name | FREMONT COMMUNITY HEALTH SERVICES, INC |
| Practice Address |
1015 4th Avenue North Suite 201 Minneapolis MN 55405-1178 |
| Practice Telephone | 6125889411 |
| Mailing Telephone | 6125889411 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-10-03 |
| Authorized Official Name | MR. STEVE KNUTSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6122872428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fremont Community Health Services, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811934763 | Neighborhood Healthsource | General Practice | 2301 Central Ave Ne, Minneapolis, MN 55418 | 2006-06-01 |
| 1386682078 | Neighborhood Healthsource | General Practice | 3300 Fremont Ave N, Minneapolis, MN 55412-2405 | 2006-06-03 |
| 1093753782 | Neighborhood Healthsource | General Practice | 342 13th Ave Ne, Minneapolis, MN 55413-1265 | 2006-06-03 |
| Street Address |
1015 4TH AVENUE NORTH SUITE 201 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| 1902209687 | Elaine May | Family Medicine | 2861 Burnham Blvd, Minneapolis, MN 55416-4331 | 2014-10-08 |
| 1952741050 | Gregory Olszewski | Family Medicine | 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 | 2013-07-03 |
| 1881940864 | Isaac Milton Engholm | Family Medicine | 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 | 2012-07-27 |
| 1225323371 | Yun Chau Bernice Lee | Family Medicine | 2823 Dean Pkwy, Minneapolis, MN 55416-4401 | 2011-06-16 |
| 1730487208 | Specialized Medical Response, LLC | Family Medicine | 401 Harding St Ne #100, Minneapolis, MN 55413 | 2011-03-08 |
| 1285930065 | Allina Health System | Family Medicine | 3024 Snelling Ave S, Minneapolis, MN 55406-1911 | 2011-01-27 |
| 1013226844 | Corban Health Care, Pllc | Family Medicine | 5141 36th Ave S, Minneapolis, MN 55417-1518 | 2010-09-28 |
| 1255651808 | Praveen Tupakula Ramesh | Family Medicine | 2810 Nicollet Avenue, Minneapolis, MN 55408 | 2010-06-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
Please comment or provide details below to improve the information on NEIGHBORHOOD HEALTHSOURCE.
| 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.