CHARLES P REZNIKOFF


Address: 807 Park Ave, Minneapolis, MN 55404-1136
Phone: 6123477600

CHARLES P REZNIKOFF (NPI# 1013952175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013952175
Entity Type Individual
Full Name CHARLES P REZNIKOFF
Credential MD
Practice Address 807 Park Ave
Minneapolis
MN 55404-1136
Mailing Address 701 Park Ave # G5
Minneapolis
MN 55415-1623
Practice Telephone 6123477600
Practice Fax Number 6123477615
Enumeration Date 2006-06-20
Last Update Date 2012-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
48516 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 807 PARK AVE
City MINNEAPOLIS
State MN
Zip Code 55404-1136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871572040 Kathleen M Heaney Psychiatry & Neurology 807 Park Ave, Minneapolis, MN 55404-1136 2006-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
Find all providers in zip 55404

Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659394815 John Richard Stroemer Internal Medicine 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 2006-07-26
1639116924 Milton L Bullock Internal Medicine 914 S 8th St, S131, Minneapolis, MN 55404-1210 2006-06-02
1508803610 Gavin B Bart Internal Medicine 701 Park Ave, Minneapolis, MN 55415-1623 2006-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871915470 Valley Pain Relief and Wellness Center, Pllc Internal Medicine 2428 E 117th St, Burnsville, MN 55337-1269 2014-01-16
1144400011 River of Life Services LLC Internal Medicine 6200 Excelsior Blvd, #202, St Louis Park, MN 55416-2730 2007-11-08
1457560708 Jerome E Schulz Internal Medicine 11505 36th Ave N, Plymouth, MN 55441-2304 2007-05-22
1043373426 Pamela Jo Shultz Internal Medicine 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 2006-12-18

Competitor

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City MINNEAPOLIS
Zip Code 55404

Improve Information

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Dataset Information

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.

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