DR. MARK KRAEMER (NPI# 1023050036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023050036 |
| Entity Type | Individual |
| Full Name | DR. MARK KRAEMER |
| Credential | M.D. |
| Practice Address |
4040 Coon Rapids Blvd Nw Suite 120 Minneapolis MN 55433-2522 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7634279980 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35279 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 089860100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821066861 | Mark David Kraemer | Radiology | 4111 S Darlington Ave Ste 700, Tulsa, OK 74135-6349 | 2006-03-08 |
| 1770019234 | Mark Richard Kraemer | Student in an Organized Health Care Education/Training Program | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2017-05-03 |
| 1578621934 | Mark Charles Kraemer | Nurse Anesthetist, Certified Registered | 200 Abraham Flexner Way, Louisville, KY 40202-2877 | 2006-12-05 |
| Street Address |
4040 COON RAPIDS BLVD NW SUITE 120 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189966 | Zaur Mirzoyev | Internal Medicine | 4040 Coon Rapids Blvd Nw, Minneapolis, MN 55433-4567 | 2006-01-17 |
| 1568913622 | Jeffrey Otto | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2016-10-24 |
| 1649600438 | Ashley Harrison Konstantinides | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2013-11-15 |
| 1366485724 | Elizabeth A Hoffman | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1568405488 | Paul Finstad | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1912940339 | Susan D Roseberg | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1376586792 | Lisa Bordeaux | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1437192598 | Jeffrey Chambers | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2006-06-14 |
| 1184667248 | Joseph Lin | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2006-06-14 |
| 1073556593 | Randall P Stark | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316364797 | Sumit I Patel | Internal Medicine | 420 Delaware Street Se, Mmc 508, Minneapolis, MN 55455 | 2014-03-24 |
| 1861692519 | Rebecca Jane Cogswell | Internal Medicine | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2007-07-20 |
| 1629107511 | Stephen N Oesterle | Internal Medicine | Medtronic Inc., Ms Lc 400, 710 Medtronic Pkwy., Ne, Minneapolis, MN 55432 | 2007-03-05 |
| 1023158136 | Paul A Sobotka | Internal Medicine | 701 Park Ave # 05, Minneapolis, MN 55415-1623 | 2007-02-07 |
| 1588729297 | Charles Richard Jorgensen | Internal Medicine | 1615 E River Pkwy, Minneapolis, MN 55414-3627 | 2006-12-22 |
| 1730265760 | Emil D Missov | Internal Medicine | 516 Delaware Street Se, Clinic 3b, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-31 |
| 1164505624 | Kozhuvattasseri Padmanabha Madhusoodanan | Internal Medicine | 516 Delaware Street Se Clinic 3b, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-20 |
| 1467542613 | Y S Chandrashekhar | Internal Medicine | Division of Cardiology 111c, 1, Veterans Drive, Minneapolis, MN 55417 | 2006-10-16 |
| 1669573598 | Venkatakrishna Narasimhamurthy Tholakanahalli | Internal Medicine | 111c, One Veterans Dr., Minneapolis, MN 55417-2309 | 2006-09-25 |
| 1871514513 | Inderjit Singh Anand | Internal Medicine | 1 Veterans Dr # 111c, Minneapolis, MN 55417-2309 | 2006-07-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on DR. MARK KRAEMER.
| 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.