Judith Boylan (NPI# 1952788291, PAC ID# 4183919053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952788291 |
| PAC ID by PECOS | 4183919053 |
| Professional Enrollment ID | I20160817002149 |
| Full Name | Judith Boylan |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
6600 Excelsior Blvd Suite 160 St Louis Park MN 55426-4713 |
| Phone Number | 9529937700 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 | 9529937700 | 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 |
6600 EXCELSIOR BLVD SUITE 160 |
| City | ST LOUIS PARK |
| State | MN |
| Zip | 55426-4713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura B Wilczynski | Nurse Practitioner | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Joshua E Scheck | Family Medicine | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Alice Macdonald | Family Medicine | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Paul T Pawlicki | Psychologist, Clinical | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Ashley N Estrem | Family Medicine | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Lauren B Fogel Mersy | Psychologist, Clinical | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Marcia L Justic | Clinical Nurse Specialist | Park Nicollet Clinic | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Anderson | Clinical Psychologist | Associated Clinic of Psychology Inc | 1155 Ford Rd B, St Louis Park, MN 55426-1115 |
| Devon Elizabeth Whitehead | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Haley N Carlock | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Natalie A Rosen | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Francis J Pasnecker | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Muriel D Philipp | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Dean K Knudson | Psychiatry | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Jerrion A Richardson | Clinical Social Worker | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Sharon E Schultz | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Robin M Bixler | Psychiatry | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Find all physicians in zip 55426 | |||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST LOUIS PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Judith Boylan.
| 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.