S SJOBERG PLC (NPI# 1023424926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023424926 |
| Entity Type | Organization |
| Organization Name | S SJOBERG PLC |
| Practice Address |
1 3rd Ave Ne Crosby MN 56441-1665 |
| Practice Telephone | 2185465108 |
| Practice Fax Number | 2185465736 |
| Mailing Telephone | 2185465108 |
| Mailing Fax Number | 2185465736 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | DR. STACY ANN SJOBERG (OWNER) |
| Authorized Official Telephone | 2185465108 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477961019 | S Sjoberg Plc | Optometrist | 7636 Design Rd, Suite 105, Baxter, MN 56425-8677 | 2014-07-28 |
| Street Address |
1 3RD AVE NE |
| City | CROSBY |
| State | MN |
| Zip Code | 56441-1665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780635664 | Jerome D. Poland Md Ltd | Eyewear Supplier (Equipment, not the service) | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-15 |
| 1255884151 | Nerissa Ann Klingelhofer | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2016-07-27 |
| 1558742783 | Joseph Merck | Internal Medicine | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2015-06-12 |
| 1215221189 | Adam Ahlquist | Ophthalmology | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2011-06-07 |
| 1710214432 | Cassie Mairs Knipple | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2009-11-17 |
| 1407803844 | Richard L West | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-30 |
| 1821044041 | Mary M Zeise | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-26 |
| 1588618268 | William D. Hammer | Optometrist | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-19 |
| 1275584815 | Stacy A Sjoberg | Ophthalmology | 1 3rd Ave Ne, Crosby, MN 56441-1665 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
| 1568618718 | Crosby Health Care Clinic | Clinic/Center | 12027 Crosby Lynchburg Rd, Crosby, TX 77532-8661 | 2008-08-07 |
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| Find all providers with the same taxonomy | ||||
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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.