FAIRVIEW HEALTH SERVICES (NPI# 1952499444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952499444 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVICES |
| Other Organization Name | FAIRVIEW RIDGES HOSPITAL - PHYSICIANS |
| Practice Address |
201 E Nicollet Blvd Burnsville MN 55337-5714 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 9528922000 |
| Practice Fax Number | 9528922107 |
| Mailing Telephone | 6126726724 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126726594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERREDONE | 42961 | 01 |
| MN | HEALTHPARTNERS | 73770 | 01 |
| MN | UCARE | 300067 | 01 |
| MN | UCARE | 331262 | 01 |
| MN | 570995000 | 05 | |
| MN | MEDICA | 9840068 | 01 |
| MN | BCBS | 267S6FA | 01 |
| MN | MHP | 1913201 | 01 |
| MN | MEDICA | 5042002 | 01 |
| MN | MEDICA | 9807339 | 01 |
| Other Name | Type Code |
|---|---|
| Fairview Ridges Hospital - Physicians | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
| 1114492014 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 827 N 6th Ave, Virginia, MN 55792-2308 | 2018-10-06 |
| 1023583929 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1101 E 37th St Ste 18, Hibbing, MN 55746-2973 | 2018-10-06 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1972084044 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 | 2018-08-27 |
| 1881141349 | Fairview Health Services | Physical Therapist | 3305 Central Park Village Drive, Suite 130, Eagan, MN 55121-7707 | 2016-09-01 |
| 1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
| 1104091131 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2008-04-30 |
| 1184899486 | Fairview Health Services | Clinic/Center | 1230 School St Nw, Elk River, MN 55330-2422 | 2008-04-28 |
| 1467416677 | Fairview Health Services | Clinic/Center | 650 Taft St Ne, Ste 400, Minneapolis, MN 55413-2832 | 2006-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HEALTH SERVICES | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Street Address |
201 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265737 | South Metropolitan Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337 | 2005-09-14 |
| 1467053389 | Dana Sotherland | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-11-06 |
| 1770181265 | Ericka Maldonado Medina | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-10-15 |
| 1477162196 | Kyle Webb | Registered Nurse | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-28 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1972141315 | Whitney Paitra Hernlem | Dietitian, Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-12-17 |
| 1962045187 | Robert Henry Steingraeber | Physical Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-10-21 |
| 1821657065 | Kaitlyn Mae Gretsch | Physician Assistant | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-06-11 |
| 1447815600 | Jennifer Lynne Anderson | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2019-05-03 |
| 1881158350 | Alanna Burchman | Nurse Anesthetist, Certified Registered | 201 E Nicollet Blvd, Burnsville, MN 55337-5799 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609895 | John Anthony Kriz | Hospitalist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2008-05-13 |
| 1023298155 | Jesus F Cabrera | Hospitalist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1710270665 | Ryan James Greiner | Hospitalist | 1812 Clinton Ave Apt 102, Minneapolis, MN 55404-2466 | 2011-05-25 |
| 1831326446 | Shirlee Xiaoping Xie | Hospitalist | 701 Park Ave South - Dept of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415 | 2009-06-22 |
| 1821239161 | Andrew George Keenan | Hospitalist | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2009-03-17 |
| 1346413291 | Tammy Jo Olson | Hospitalist | Essentia Health St. Mary's Detroit Lakes Hospital, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2008-04-10 |
| 1497947345 | Saroj Shrestha | Hospitalist | 5 Crown Hill Ln, Mankato, MN 56001-4986 | 2007-08-14 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1427543735 | Becky Randall | Hospitalist | 1406 6th Ave N, St. Cloud, MN 56303-1901 | 2018-06-28 |
| 1396269288 | Erin Lynn Weier | Hospitalist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.