CALANDRA D THEISEN (NPI# 1972784668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972784668 |
| Entity Type | Individual |
| Full Name | CALANDRA D THEISEN |
| Credential | DPM |
| Practice Address |
2600 39th Ave Ne Suite 250 Minneapolis MN 55421-4379 |
| Practice Telephone | 6127887274 |
| Practice Fax Number | 6127883408 |
| Mailing Telephone | 6127887274 |
| Mailing Fax Number | 6127883408 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 731 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2600 39TH AVE NE SUITE 250 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55421-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
| 1477820405 | Jennifer Patricia Gray | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2011-11-18 |
| 1023309549 | Pdg, P.a. | Clinic/Center | 2600 39th Ave Ne, 225, Minneapolis, MN 55421-4379 | 2011-05-02 |
| 1144559535 | North Memorial Health Care | Clinic/Center | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2009-12-14 |
| 1326376906 | Elizabeth Faith Baker | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2009-11-19 |
| 1528212230 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2008-11-07 |
| 1447424692 | Urology Associates, Ltd. | Urology | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2008-04-18 |
| 1790868404 | Danny R Dunsworth | Family Medicine | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-24 |
| 1750461547 | Diana C Liu | Family Medicine | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-16 |
| 1013097815 | Patrick D Loew | Physician Assistant | 2600 39th Ave Ne, Minneapolis, MN 55421-4379 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241782 | Cc Group Home Care Inc | Non-emergency Medical Transport (VAN) | 524 Huset Pkwy Ne, Columbia Heights, MN 55421 | 2019-11-30 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1245721976 | Complete Care Home Care LLC | Home Health | 4111 Central Ave Ne North Building, Suite 202, Columbia Heights, MN 55421 | 2018-05-29 |
| 1053816389 | Anoka Health Center LLC | Clinic/Center | 4111 Central Ave N.e, Suite 201 North Building, Columbia Heights, MN 55421 | 2018-03-28 |
| 1508381047 | Minnesota Home Health Care LLC | Home Health | 534 Huset Parkway, Columbia Heights, MN 55421 | 2017-08-05 |
| 1720520448 | Tesfa International School | Local Education Agency (LEA) | 1550 40th Avenue Northeast, Columbia Heights, MN 55421 | 2016-11-11 |
| 1487012548 | Icare Transportation | Non-emergency Medical Transport (VAN) | 2816 Silver Ln Ne #305, Saint Anthony, MN 55421 | 2016-02-04 |
| 1194183368 | Warsame Warsame | Non-emergency Medical Transport (VAN) | 1115 45th Ave Ne, Columbia Heights, MN 55421 | 2016-02-03 |
| 1083083398 | Epic Transportation LLC | Clinic/Center | 355 Orendorff Way Ne, Columbia Heights, MN 55421 | 2015-09-16 |
| 1508281023 | Alexandra Marie Hodson | Occupational Therapist | 5155 E. River Rd, Suite #403, Fridley, MN 55421 | 2014-02-20 |
| Find all providers in zip 55421 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1013977644 | Todd Arnold Shea | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2006-03-27 |
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1558893180 | Michelle Lynn Winder | Podiatrist | 701 Park Ave, Hennepin County Medical Center, Podiatry Department, Minneapolis, MN 55415-1623 | 2017-04-02 |
| 1063857985 | Erin A Roberson | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2013-05-06 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1588856546 | Marlene Bonilla Alicea | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2007-08-14 |
| 1528287414 | Michael Alan Reid | Podiatrist | 2849 Johnson St Ne, Minneapolis, MN 55418-3055 | 2007-04-25 |
| 1053438648 | Advanced Foot Care Clinic,ltd | Podiatrist | 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402-2606 | 2007-03-26 |
| 1922015346 | Joseph Paul Schuster | Podiatrist | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454 | 2006-08-01 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55421 |
Please comment or provide details below to improve the information on CALANDRA D THEISEN.
| 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.