DR. STACY L NOYES (NPI# 1003893066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003893066 |
| Entity Type | Individual |
| Full Name | DR. STACY L NOYES |
| Credential | M.D. |
| Practice Address |
11855 Ulysses St Ne Blaine MN 55434-3947 |
| Practice Telephone | 7637854200 |
| Mailing Telephone | 7637854200 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 41031 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326064239 | Stacy Maier Noyes | Optometrist | 1717 28th St Sw, Grand Rapids, MI 49519-2591 | 2006-07-14 |
| Street Address |
11855 ULYSSES ST NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606896 | David Moga | Physical Therapist | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2019-08-29 |
| 1336675560 | North Memorial Health Care | Clinic/Center | 11855 Ulysses St Ne, #110, Blaine, MN 55434-3947 | 2017-05-09 |
| 1811361603 | Pamela Rhiel | Nurse Practitioner | 11855 Ulysses St Ne, Suite 250, Blaine, MN 55434-3947 | 2015-11-17 |
| 1629405931 | Rachel Sinnen | Physician Assistant | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-10-01 |
| 1538408943 | North Memorial Health Care | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-02-05 |
| 1942547096 | Blaine Urgency Center, LLC | Clinic/Center | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2013-01-09 |
| 1467735407 | Carly L. Mattson | Physical Therapist | 11855 Ulysses St Ne, Ste 20, Blaine, MN 55434-3947 | 2011-09-26 |
| 1538497276 | Lori Jean Treb | Dietitian, Registered | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2009-11-18 |
| 1760616031 | Blaine Mn Multi Specialty Asc LLC | Clinic/Center | 11855 Ulysses St Ne, Suite 270, Blaine, MN 55434-3947 | 2009-05-14 |
| 1144462219 | Lakeland Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 11855 Ulysses St Ne, Suite 205 and Suite 210, Blaine, MN 55434-3947 | 2009-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443707 | John Philip Wust IIi | Obstetrics & Gynecology | 10705 Town Square Dr Ne Ste 100, Blaine, MN 55449-8185 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
| 1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
| 1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
| 1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
| 1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
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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.