Elias P Bazakos (NPI# 1437276573, PAC ID# 6901971431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1437276573 |
| PAC ID by PECOS | 6901971431 |
| Professional Enrollment ID | I20080819000352 |
| Full Name | Elias P Bazakos |
| Organization Legal Name | MINNEAPOLIS CLINIC OF NEUROLOGY LTD |
| Address |
3833 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2697 |
| Phone Number | 7637673003 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5496668659 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240115 | MERCY HOSPITAL |
| 240030 | DOUGLAS COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 | 7637673003 | MINNEAPOLIS CLINIC OF NEUROLOGY LTD |
| Organization Legal Name | MINNEAPOLIS CLINIC OF NEUROLOGY LTD |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marietta Mume Hoogs | Psychologist, Clinical | Minneapolis Clinic of Neurology Ltd | 501 E Nicollet Boulevard, Suite 100 and Suite Ll50, Burnsville, MN 55337-6749 |
| Melissa N Castro | Psychologist, Clinical | Minneapolis Clinic of Neurology Ltd | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 |
| Kristen M Kelly-williams | Neurology | Minneapolis Clinic of Neurology Ltd | 301 2nd St Ne, Queen of Peace Hospital, New Prague, MN 56071-1709 |
| Nancy M Barthold | Physical Therapy | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Sunhee Kim | Neurology | Minneapolis Clinic of Neurology Ltd | 3400 W 66th St, Suite 150, Edina, MN 55435-2109 |
| Kate Anita Monroe | Physical Therapy | Minneapolis Clinic of Neurology Ltd | 3400 W 66th St, Suite 150, Edina, MN 55435-2109 |
| Natalia S Dorland | Neurology | Minneapolis Clinic of Neurology Ltd | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Allan P Ingenito | Neurology | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Christine J Zwicky | Physician Assistant | Minneapolis Clinic of Neurology Ltd | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 |
| Cheryl L Oeltjenbruns | Physician Assistant | Minneapolis Clinic of Neurology Ltd | 4225 Golden Valley Rd, Golden Valley, MN 55422-4215 |
| Street Address |
3833 COON RAPIDS BLVD NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip | 55433-2697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy M Barthold | Physical Therapy | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Allan P Ingenito | Neurology | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Moeen A Masood | Neurology | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Sailaja Enduri | Neurology | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Rachel M Peterson | Physical Therapy | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Masood R Ghazali | Neurology | Minneapolis Clinic of Neurology Ltd | 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2697 |
| Heidi J Hathaway | Psychologist, Clinical | Nystrom and Associates Ltd | 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2599 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle D Traynor | Chiropractic | Waypoint Minnesota PC | 3183 Northdale Blvd Nw, Suite 103, Coon Rapids, MN 55433-1756 |
| Craig A Schadow | Chiropractic | 3818 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2517 | |
| Stephanie Rae Walvatne | Nurse Practitioner | 3887 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2518 | |
| George A Haikel | Urology | 3879 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
| Melanie A Ferguson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Mark D Mcmillan | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| John A Kosiak | Radiation Oncology | Minneapolis Radiation Oncology Pa | 4030 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Joyce S Stewart | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Amber Galarowicz | Internal Medicine | Allina Health System | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Michael A Erickson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Find all physicians in zip 55433 | |||
| City | COON RAPIDS |
| Zip Code | 55433 |
| Specialty | NEUROLOGY |
| City + Specialty | COON RAPIDS + NEUROLOGY |
Please comment or provide details below to improve the information on Elias P Bazakos.
| 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.