FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA (NPI# 1992877088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877088 |
| Entity Type | Organization |
| Organization Name | FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA |
| Practice Address |
7373 France Ave S Suite 410 Edina MN 55435-4534 |
| Mailing Address |
Po Box 27015 Omaha NE 68127-0015 |
| Practice Telephone | 9528440404 |
| Mailing Telephone | 4023939459 |
| Mailing Fax Number | 4023979895 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | JYL R DINVILLE (PHYSICIAN CODING & REIMBURSEMENT) |
| Authorized Official Telephone | 4023975462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
23875 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA CHOICE | 1300010 | 01 | |
| HEALTHPARTNERS | 34040 | 01 | |
| HEALTHPARTNERS | HP13518 | 01 |
| Street Address |
7373 FRANCE AVE S SUITE 410 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880754 | Steven F Noran | Psychiatry & Neurology | 7373 France Ave S, Ste 604, Edina, MN 55435-4552 | 2005-06-08 |
| 1851903124 | Lee Ward Schaefer | Psychologist | 7373 France Ave S, Edina, MN 55435-4451 | 2020-08-18 |
| 1558801357 | Tattoo Removal Shop | Emergency Medicine | 7373 France Ave S, Suite 504, Edina, MN 55435-4549 | 2017-02-28 |
| 1649717778 | Great Lakes Neurobehavioral Center, PC | Psychologist | 7373 France Ave S, Suite 305, Edina, MN 55435-4534 | 2017-01-27 |
| 1629401419 | Daniel Douglas Swatfager | Physical Therapist | 7373 France Ave S, Edina, MN 55435-4534 | 2013-08-15 |
| 1578901294 | Kelly Reed | Physical Therapist | 7373 France Ave S, Edina, MN 55435-4534 | 2013-06-05 |
| 1215372297 | Nirmal Kharel | Family Medicine | 7373 France Ave S, Suite 202, Edina, MN 55435-4534 | 2013-05-06 |
| 1851645071 | Sandra Jean Gress | Physical Therapist | 7373 France Ave S, Edina, MN 55435-4534 | 2012-11-09 |
| 1457608267 | Kristine Dahlheimer Alme | Physical Therapist | 7373 France Ave S, Edina, MN 55435-4534 | 2012-08-10 |
| 1235492059 | Bradley Marc Sundick | Dentist | 7373 France Ave S, Suite 602, Edina, MN 55435-4534 | 2012-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659845659 | Omni Medical Center Pllc | Plastic Surgery | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2019-01-14 |
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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.