DR. DEBORAH ANNE DEMARAIS (NPI# 1992767784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992767784 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH ANNE DEMARAIS |
| Credential | M.D. |
| Practice Address |
13819 Hanson Blvd Nw Andover MN 55304-7608 |
| Mailing Address |
6401 University Ave Ne Fridley MN 55432-4341 |
| Practice Telephone | 7635725710 |
| Practice Fax Number | 7638624490 |
| Mailing Telephone | 7635725710 |
| Mailing Fax Number | 7635713008 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30250 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 1200395 | 01 |
| MN | MEDICA UC | 6603947 | 01 |
| MN | 674508300 | 05 | |
| MN | BCBS OF MN | 08F19DE | 01 |
| MN | PREFERRED ONE | 1000890 | 01 |
| MN | UCARE MN | 107287 | 01 |
| MN | AETNA | 4134987 | 01 |
| MN | AMERICA'S PPO | 24161 | 01 |
| MN | HEALTHPARTNERS | HP19874 | 01 |
| Street Address |
13819 HANSON BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip Code | 55304-7608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881656296 | David Robert Bachman | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2006-04-03 |
| 1457820912 | Jason Emold Nesler | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-11-14 |
| 1861999195 | Chee Lor | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-04-12 |
| 1073013181 | Stephanie Lynn Piche | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2018-02-15 |
| 1326402256 | Islam Zineldin | Family Medicine | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-04-06 |
| 1124487624 | Joseph Aaron Gray Wilkie | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2016-02-12 |
| 1063883338 | Kelly L Nguyen | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2015-10-13 |
| 1881017150 | Dana Thilges | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2014-01-22 |
| 1437581824 | Tiffany N Ling | Nurse Practitioner | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2013-08-07 |
| 1518244151 | Deborah Lynn Gerdes | Counselor | 13819 Hanson Blvd Nw, Andover, MN 55304 | 2011-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114402211 | Sarah Sue Anderson | Speech-Language Pathologist | 1891 Station Pkwy, Andover, MN 55304 | 2018-09-25 |
| 1306354329 | Jennifer Lynn Larkey I | Counselor | 1875 Station Parkway N.w. Andover, Mn 55304, Andover, MN 55304 | 2018-01-11 |
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1912427931 | Brooke Nicole Halliday | Counselor | 1875 Station Pkwy Ne, Andover, MN 55304 | 2017-06-21 |
| 1700286903 | Jari Welle, Inc. | Marriage & Family Therapist | 1328 Mckay Drive Ne, Suite 100, Ham Lake, MN 55304 | 2014-08-26 |
| 1356765192 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1889 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1326462177 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1899 139th Ave Nw, Andover, MN 55304 | 2014-02-14 |
| 1740619568 | Delores Weikle | Physical Therapist | 14531 Jay St, Andover, MN 55304 | 2013-11-02 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1770927758 | Arbor Oaks Senior Living | Assisted Living Facility | 1640 155th Lane Nw, Andover, MN 55304 | 2013-04-22 |
| Find all providers in zip 55304 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962464768 | Richard Dean Miller | Pediatrics | 943 N Andover Rd, Suite G, Andover, KS 67002-9795 | 2006-04-05 |
| 1710985882 | Robert Peter Nelken | Pediatrics | 140 Haverhill St, Andover, MA 01810-1504 | 2005-07-12 |
| 1245467794 | Jennifer C Hensley | Pediatrics | 140 Haverhill St, Andover, MA 01810-1550 | 2009-06-11 |
| 1801088778 | Brittany N Johnston | Pediatrics | 15245 Bluebird St Nw, Riverway Clinic-andover, Andover, MN 55304-3554 | 2007-08-15 |
| 1316069149 | Joseph W. Desiato, M.d. PC | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2007-04-04 |
| 1548393176 | Andover Pediatrics, P.C. | Pediatrics | 140 Haverhill St, Andover, MA 01810-1550 | 2007-03-13 |
| 1891822243 | Rebecca Ann Konieczny | Pediatrics | 323 Lowell St, Andover, MA 01810 | 2007-02-27 |
| 1356435366 | Joseph William Desiato | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2006-10-03 |
| 1639289713 | Michael Andrew Fischer | Pediatrics | 323 Lowell St, Andover Medical Center & Express Care, Andover, MA 01810 | 2006-08-30 |
| 1871502203 | Rhodessa Fidela Kabatay Burt | Pediatrics | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2006-08-05 |
| Find all providers in ANDOVER | ||||
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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.