Amanda Enstrom (NPI# 1093119786, PAC ID# 9032499066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1093119786 |
| PAC ID by PECOS | 9032499066 |
| Professional Enrollment ID | I20161209000837 |
| Full Name | Amanda Enstrom |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
3305 Central Park Village Dr Suite 130 Eagan MN 55121-7707 |
| Phone Number | 6614068868 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3305 Central Park Village Dr, Suite 130, Eagan, MN 55121-7707 | 6614068868 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
3305 CENTRAL PARK VILLAGE DR SUITE 130 |
| City | EAGAN |
| State | MN |
| Zip | 55121-7707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason B Kimmel | Physician Assistant | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Nicholas Roffers | Qualified Speech Language Pathologist | Fairview Health Services | 3305 Central Park Village Dr, Suite 130, Eagan, MN 55121-7707 |
| Colette R Brogan | Occupational Therapy | Fairview Health Services | 3305 Central Park Village Dr, Eagan, MN 55121-7707 |
| Kristine L Johnson | Optometry | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Christopher M Kobe | Internal Medicine | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Lynn M Osborne | Physical Therapy | Fairview Health Services | 3305 Central Park Village Dr, Eagan, MN 55121-7707 |
| Mary K Spencer | Registered Dietitian Or Nutrition Professional | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Sarah A Mcintire | Internal Medicine | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Christopher J Sabal | Obstetrics/gynecology | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Erin E Mccarville | Internal Medicine | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Schroeder | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Marysa Meyer | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Joanna Vermedahl | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Daniel Jm Carroll | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Kayla Marie Uphoff | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Ashley Emiko Takekawa | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Angela Vong | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Steven W Kraushaar | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Robert Evans | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Kelly Ruth Carlson | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Find all physicians in zip 55121 | |||
| City | EAGAN |
| Zip Code | 55121 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | EAGAN + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Amanda Enstrom.
| 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.