Mark L Edson (NPI# 1326024514, PAC ID# 4183713696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1326024514 |
| PAC ID by PECOS | 4183713696 |
| Professional Enrollment ID | I20071207000268 |
| Full Name | Mark L Edson |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
2001 Blaisdell Ave Minneapolis MN 55404-2414 |
| Phone Number | 9529938000 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1984 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 9529938000 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
2001 BLAISDELL AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55404-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Stephen C Marker | Pediatric Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Iris Medini | Psychiatry | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Amelia L Vang | Physician Assistant | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Cynthia L Olson | Dermatology | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Nouchee Vang | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Eduardo M Medina | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Alan D Lindblad | Physical Therapy | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Amy V Knox | Certified Nurse Midwife (cnm) | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Urbae Y Hall | Physical Therapy | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phoenix X Schmitz | Clinical Social Worker | 414 S 8th St, Minneapolis, MN 55404-1025 | |
| Barbara J Williamson | Clinical Social Worker | The Family Partnership | 414 S 8th St, Minneapolis, MN 55404-1025 |
| Douglas Alan Becker | Orthopedic Surgery | Minneapolis Orthopaedics Ltd | 825 S 8th St, Suite 550, Minneapolis, MN 55404-1217 |
| Sara L Bryant | Physical Therapy | Minneapolis Orthopaedics Ltd | 825 S 8th St, Suite 550, Minneapolis, MN 55404-1217 |
| Kristen M Shedd | Physical Therapy | Minneapolis Orthopaedics Ltd | 825 S 8th St, Suite 550, Minneapolis, MN 55404-1217 |
| Angela M Finn | Nurse Practitioner | Minneapolis Orthopaedics Ltd | 825 S 8th St, Suite 550, Minneapolis, MN 55404-1217 |
| Robert A Wengler | Orthopedic Surgery | Downtown Orthopedics Pa | 825 S 8th St, Suite 902, Minneapolis, MN 55404-1220 |
| Michael David Wengler | Orthopedic Surgery | Downtown Orthopedics Pa | 825 S 8th St, Suite 902, Minneapolis, MN 55404-1220 |
| Louis P Kohl | Interventional Cardiology | Hennepin Healthcare System Inc | 1425 10th Ave S, Minneapolis, MN 55404-1309 |
| Gautam R Shroff | Cardiovascular Disease (cardiology) | Hennepin Healthcare System Inc | 1425 10th Ave S, Minneapolis, MN 55404-1309 |
| Find all physicians in zip 55404 | |||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
| Specialty | OPTOMETRY |
| City + Specialty | MINNEAPOLIS + OPTOMETRY |
Please comment or provide details below to improve the information on Mark L Edson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.