RAYMOND CHARLES SODERLUND


Address: 2220 Riverside Ave, Minneapolis, MN 55454-1321
Phone: 6123711600

RAYMOND CHARLES SODERLUND (NPI# 1043425044) 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) 1043425044
Entity Type Individual
Full Name RAYMOND CHARLES SODERLUND
Credential PA
Practice Address 2220 Riverside Ave
Minneapolis
MN 55454-1321
Mailing Address 3021 Wilson St Ne
Minneapolis
MN 55418-2371
Practice Telephone 6123711600
Mailing Telephone 6127828323
Enumeration Date 2007-05-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		8847 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2220 RIVERSIDE AVE
City MINNEAPOLIS
State MN
Zip Code 55454-1321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972197 Sean Thayer Podiatrist 2220 Riverside Ave, Minneapolis, MN 55454-1321 2005-06-20
1578187084 Marcia Wahl Registered Nurse 2220 Riverside Ave, Minneapolis, MN 55454-1321 2020-05-31
1619499746 Kathleen Ann Otremba Nurse Practitioner 2220 Riverside Ave, Minneapolis, MN 55454-1321 2017-07-11
1417490228 Lucianna Baregi Physical Therapist 2220 Riverside Ave, 5th Floor, Minneapolis, MN 55454-1321 2016-11-28
1609256031 Lydia Staples Obstetrics & Gynecology 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 2015-06-01
1821476821 Melissa Pavek Family Medicine 2220 Riverside Ave, Minneapolis, MN 55454-1321 2015-05-11
1023402658 Michelle Tracy Koenig Nurse Practitioner 2220 Riverside Ave, Minneapolis, MN 55454-1321 2015-03-20
1699166082 Linnea Marie Forsline Physician Assistant 2220 Riverside Ave, Minneapolis, MN 55454-1321 2015-02-06
1699199802 Zachery Avir Lecrone Social Worker 2220 Riverside Ave, Minneapolis, MN 55454-1321 2014-02-07
1386083111 Laura Virginia Maus Internal Medicine 2220 Riverside Ave, Minneapolis, MN 55454-1321 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811164007 Leah Anne Zupancich Physician Assistant 2545 Chicago Ave. S., Suite 106, Minneapolis, MN 55404 2008-05-15
1124123120 Bonnie White Marsh Physician Assistant 1 Veterans Dr # 112, Minneapolis, MN 55417-2309 2006-09-14
1114990272 Sangeetha Larsen Physician Assistant 1000 Nicollet Mall # 17-642, Minneapolis, MN 55403-2542 2006-02-09
1548815160 Karissa Soraya Simyab Physician Assistant 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 2019-08-09
1982185328 Monica Ellen Stassi-fritz Physician Assistant 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 2018-08-23
1477060572 David Wade Mcgehee Physician Assistant 1 Veterans Dr, Minneapolis, MN 55417-2309 2018-01-10
1851808828 Julia Curry Physician Assistant 800 E 28th St, Minneapolis, MN 55407-3723 2017-12-29
1831643899 Patrick James Halbach Physician Assistant 909 Fulton St Se, Minneapolis, MN 55455-4800 2016-08-08
1609229749 Joseph Mark Kaisersatt Physician Assistant 500 Harvard St Se, Minneapolis, MN 55455-0363 2016-07-13
1831580901 Jessica Knuppel Physician Assistant 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 2015-02-11
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Competitor

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City MINNEAPOLIS
Zip Code 55454

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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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