DR. PHILIP ALDEN SIDELL (NPI# 1982759288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982759288 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ALDEN SIDELL |
| Credential | MD |
| Practice Address |
3920 Sunnyside Rd Edina MN 55424-1211 |
| Practice Telephone | 9529263002 |
| Practice Fax Number | 9529267744 |
| Mailing Telephone | 9529263002 |
| Mailing Fax Number | 9529267744 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 31011 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3920 SUNNYSIDE RD |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992027007 | Morningside Family Physicians | Clinic/Center | 3920 Sunnyside Rd, Edina, MN 55424-1211 | 2010-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957716 | Visvaldis George Nagobads | General Practice | 5180 Circle Drive, Edina, MN 55439-1401 | 2011-05-20 |
| 1124343314 | Steven Paul Robak | General Practice | 7025 France Ave S, Suite 100, Edina, MN 55435-4202 | 2010-03-31 |
| 1518172717 | Roland George Dumonceaux | General Practice | 6909 Gleason Road, Edina, MN 55439-1604 | 2007-05-11 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1235394784 | Tami Renee Wahlin | General Practice | 7250 France Ave S, Suite 417, Edina, MN 55435-4305 | 2008-07-24 |
| 1629081484 | Nancy Richardson | General Practice | 3400 W 66th St, Suite 140, Edina, MN 55435-2111 | 2006-08-14 |
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|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
| 1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
| 1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
| Find all providers with the same taxonomy | ||||
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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.