TIFFANY T FANCHER (NPI# 1023276789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023276789 |
Entity Type | Individual |
Full Name | TIFFANY T FANCHER |
Credential | M.D. |
Practice Address |
9825 Hospital Dr Ste 300 Maple Grove MN 55369-4768 |
Practice Telephone | 7635877900 |
Practice Fax Number | 7634947501 |
Mailing Telephone | 7635877900 |
Mailing Fax Number | 7634947501 |
Enumeration Date | 2008-05-29 |
Last Update Date | 2020-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | 55610 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
2500 English Creek Ave Bldg 800, Egg Harbor Township, NJ 082345549 | 6094072200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629111638 | Tiffany Ann Fancher | Pharmacist | 981090 Nebraska Medical Center, Omaha, NE 68198-1090 | 2007-02-15 |
Street Address |
9825 HOSPITAL DR STE 300 |
City | MAPLE GROVE |
State | MN |
Zip Code | 55369-4768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518917731 | Hieu Kim Cabak | Physician Assistant | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-05-10 |
1467761890 | Susan Mentjes Wrobel | Nurse Practitioner | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2010-10-04 |
1154583631 | Kyle R Barker | Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-06-26 |
1235304726 | North Clinic, Pa | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-04-25 |
1588840813 | Anne C. Carlson-buren | Podiatrist | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-01-16 |
1700815230 | Sherry Ann Paulson | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-30 |
1164451662 | Pete Albert Pooler | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-30 |
1346286838 | Leslee J Jaeger | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
1013953488 | Kathryn G Flory | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
1073557641 | Asim Said Khan | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
Find all providers in zip 55369 |
Taxonomy Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881649291 | Isaac Felemovicius | Colon & Rectal Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750880829 | Alan Lee Tims Md LLC | Colon & Rectal Surgery | 2007 Summit Dr, Saint Cloud, MN 56303-1249 | 2018-02-05 |
1700148426 | Emmanuel Balcos | Colon & Rectal Surgery | 7914 Victoria Curv, Minneapolis, MN 55426-3066 | 2012-06-08 |
1265707632 | Paul Evans Schultz | Colon & Rectal Surgery | 6495 Ideal Ave N, Mahtomedi, MN 55115-2004 | 2012-03-18 |
1104115484 | Emily Frances Midura | Colon & Rectal Surgery | 6565 France Ave S Ste 375, Minneapolis, MN 55435-2141 | 2011-04-07 |
1861506263 | Central Minnesota Surgeons Ltd | Colon & Rectal Surgery | 2000 23rd Street South, Suite 300, Sartell, MN 56377-4768 | 2006-08-19 |
1225046063 | Frederic D Nemer | Colon & Rectal Surgery | 3366 Oakdale Ave, Suite 315, Robbinsdale, MN 55422 | 2006-08-04 |
1376596775 | Colon & Rectal Surgery Associates Ltd | Colon & Rectal Surgery | 3433 Broadway St Ne, Suite 115, Minneapolis, MN 55413-1740 | 2006-05-18 |
1538133038 | Anne M Boller | Colon & Rectal Surgery | 401 Phalen Blvd # Ms 41104a, Saint Paul, MN 55130 | 2006-02-14 |
1588225213 | Fabian Grass | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-06-24 |
1346801222 | William Richard George Perry | Colon & Rectal Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-06-22 |
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City | MAPLE GROVE |
Zip Code | 55369 |
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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.