LYNN HAGEDORN (NPI# 1962488189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962488189 |
| Entity Type | Individual |
| Full Name | LYNN HAGEDORN |
| Credential | MD |
| Practice Address |
15111 Twelve Oaks Center Dr Minnetonka MN 55305-5201 |
| Mailing Address |
3800 Park Nicollet Blvd Credentialing St Louis Park MN 55416-2527 |
| Practice Telephone | 9529934500 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 27861 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
15111 TWELVE OAKS CENTER DR |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344176 | Benjamin Pease IIi | Internal Medicine | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-11-29 |
| 1932764313 | Mollie Naughton | Nurse Practitioner | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2019-05-01 |
| 1235636275 | Anna Theis | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2018-04-06 |
| 1972036531 | Jennifer Renee Signor | Pediatrics | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2017-04-10 |
| 1780133314 | Ariel Brea- Anna Cole | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2016-09-23 |
| 1821476862 | Lisa Vigen | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2015-05-11 |
| 1699174250 | Park Nicollet Health Services | Clinic/Center | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2014-08-20 |
| 1326447921 | Christine Delahunt | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 | 2014-08-19 |
| 1265840888 | Park Nicollet | Clinic/Center | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2014-07-28 |
| 1568872547 | Laura Hanson | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2014-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1912351610 | Ashley Carol Andersen | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2016-04-19 |
| 1568872547 | Laura Hanson | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2014-04-30 |
| 1780848317 | Jill Marie Garnier | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2008-07-13 |
| 1407972474 | Katie Jean Toft | Obstetrics & Gynecology | 14001 Ridgedale Dr, Suite 200, Minnetonka, MN 55305-1753 | 2007-03-22 |
| 1477530970 | Kathryn Babich | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-12-27 |
| 1346224656 | Eric Locher | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-11-30 |
| 1225035710 | Terri Sue Johnson | Obstetrics & Gynecology | 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305-1753 | 2005-06-30 |
| 1528064128 | Christine Marie Larson | Obstetrics & Gynecology | 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305-1753 | 2005-06-28 |
| 1043216641 | Gregg Allan Teigen | Obstetrics & Gynecology | 14001 Ridgedale Dr, Ste 200, Minnetonka, MN 55305-1753 | 2005-06-28 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.