KIRK LESLIE SCOFIELD (NPI# 1972573566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972573566 |
| Entity Type | Individual |
| Full Name | KIRK LESLIE SCOFIELD |
| Credential | MD |
| Practice Address |
3580 Arcade St Vadnais Heights MN 55127-7135 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6519685770 |
| Practice Fax Number | 6519685775 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 4381 | AK | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
54590 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD4391 | 05 |
| Street Address |
3580 ARCADE ST |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 55127-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679069751 | Caitlin Dewitt | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2018-07-02 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1912420704 | William R Turnquist | Specialist/Technologist, Other | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-24 |
| 1174045884 | Trista Lee Norris | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-13 |
| 1255860268 | Jessie Lauren Marolt | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-06-05 |
| 1710410246 | Samuel Rauchwarter | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-04-11 |
| 1457701286 | Lori A Fredericks | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-06-13 |
| 1730536665 | Rachel A Hedden | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-05-20 |
| 1144696980 | Rachel M Silbert | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2015-08-17 |
| 1972981827 | Barbara A Siefken | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2015-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| 1801275672 | Anne M Mcdonald | Social Worker | 4444 Centerville Road, Suite 235, White Bear Lake, MN 55127 | 2015-05-26 |
| Find all providers in zip 55127 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239361 | David Ian Smith | Family Medicine | 516 15th Ave Se Ste 190e, Minneapolis, MN 55455-0130 | 2011-05-10 |
| 1306163571 | Maria Christine Ryan | Family Medicine | 15450 Highway 7 Ste 125, Minnetonka, MN 55345-3522 | 2010-04-28 |
| 1659437267 | Peter Swann | Family Medicine | 1400 Corporate Center Curv Ste 200, Eagan, MN 55121-1372 | 2006-12-28 |
| 1275557886 | Odom Sports Medicine, P.a. | Family Medicine | 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 | 2006-07-27 |
| 1790739092 | Ronald Wayne Hanson Jr. | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2006-05-20 |
| 1669423950 | Suzanne S Hecht | Family Medicine | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454-1404 | 2006-05-12 |
| 1295231702 | Rachel Kwiatkowski | Family Medicine | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-04-03 |
| 1255793261 | Arie Degrio | Family Medicine | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2016-03-28 |
| 1437525292 | Orthocure LLC | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2015-08-17 |
| 1871974022 | Mark Cipriani Jr. | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-13 |
| Find all providers with the same taxonomy | ||||
| City | VADNAIS HEIGHTS |
| Zip Code | 55127 |
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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.