ALLINA HEALTH SYSTEM (NPI# 1013424019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013424019 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | ALLINA HEALTH UROLOGY CLINIC - ABBOTT NORTHWESTERN |
| Practice Address |
920 E 28th St Ste 460 Minneapolis MN 55407-1286 |
| Mailing Address |
Po Box 43 Mail Route 10202 Minneapolis MN 55480-0043 |
| Practice Telephone | 6128637770 |
| Practice Fax Number | 6128637772 |
| Mailing Telephone | 6122621166 |
| Mailing Fax Number | 6122624258 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | RICHARD MAGNUSON (CFO) |
| Authorized Official Telephone | 6122621020 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLINA HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Allina Health Urology Clinic - Abbott Northwestern | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
| Street Address |
920 E 28TH ST STE 460 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649445917 | Natasha M Rueth | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-04-28 |
| 1427575794 | Julie Ann Graner | Physician Assistant | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2017-08-27 |
| 1528315181 | Devon Sittlow Callahan | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2012-08-13 |
| 1154684835 | Allina Health System | Dietitian, Registered | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2012-06-19 |
| 1972894079 | Benjamin Thomas Miller | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2011-04-22 |
| 1881915403 | Jennifer Griffith Shanklin | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2010-06-17 |
| 1770735581 | Megan Phillips Schmit | Physician Assistant | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-10-13 |
| 1124288691 | Dervie Crespo | Nurse Practitioner | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1992961411 | Ricardo Miyaoka | Urology | 515 4th St Se Apt 203, Minneapolis, MN 55414-1745 | 2008-08-04 |
| 1992894059 | Robert Sweet | Urology | Pwb First Floor, Clinic 1e, 420 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-12 |
| 1235233727 | Joel W Slaton | Urology | Center for Minimally Invasive Surgery, 500 Harvard Street Se, Minneapolis, MN 55455 | 2006-09-12 |
| 1912937657 | Badrinath R Konety | Urology | 420 Delaware St Se, Ste B435, Institute for Prostate and Urologic Cancers, Minneapolis, MN 55455 | 2006-07-04 |
| 1861435943 | Sean Patrick Elliott | Urology | 420 Delaware St Se, Mmc 394, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-06-14 |
| 1881663169 | Stanley John Antolak Jr. | Urology | 7400 France Ave S, Suite 100, Minneapolis, MN 55435-4738 | 2006-03-17 |
| 1689053993 | Ayman Soubra | Urology | 420 Delaware St Se, Mmc 394, Minneapolis, MN 55455-0341 | 2015-05-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.