FANG BU (NPI# 1962635193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962635193 |
| Entity Type | Individual |
| Full Name | FANG BU |
| Credential | M.D. |
| Practice Address |
2525 Chicago Ave Minneapolis MN 55404-4518 |
| Practice Telephone | 6128136711 |
| Practice Fax Number | 6128137721 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
67836 | MN | Allopathic & Osteopathic Physicians |
| N | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
35.133826 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35.133826 | OH | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 34989 | SC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2009013425 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MD34989 | SC | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0286662 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Childrens Dr # D000651, Columbus, OH 43205 | 6147225315 | 6143551597 |
| Street Address |
2525 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611511 | William Francis Pomputius IIi | Pediatrics | 2525 Chicago Ave, Mailstop 17-318, Minneapolis, MN 55404-4518 | 2005-06-30 |
| 1174124259 | Anna-wesleigh Riggs Akins | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-11-04 |
| 1255930202 | Gershom Aaron Tam | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-10-21 |
| 1275140477 | Jessica Bloom | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-30 |
| 1538775762 | Ahmed Elazab | Pharmacist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-22 |
| 1275149957 | Jennifer Siegmann | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-18 |
| 1710592530 | Mildred Denise Kiawoin | Registered Nurse | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1992310700 | Coltyn Tyler Johnson | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-09 |
| 1619581394 | Children's Health Care | Ambulance | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-09-01 |
| 1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207ZP0213X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Pediatric Pathology |
| A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626184 | Timothy M Casey | Pathology | 2525 Chicago Ave, Childrens Hospitals and Clinics-pathology-mpls, Minneapolis, MN 55404-4518 | 2005-08-17 |
| 1285626192 | Susan C Simonton | Pathology | 2525 Chicago Ave, Children's Hospitals and Clinics - Pathology - Mpls, Minneapolis, MN 55404-4518 | 2005-08-17 |
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.