ERICA WADE LUNDBERG (NPI# 1043709124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043709124 |
| Entity Type | Individual |
| Full Name | ERICA WADE LUNDBERG |
| Credential | APRN |
| Practice Address |
4875 Cottonwood Ln N Plymouth MN 55442-2277 |
| Practice Telephone | 6122014608 |
| Mailing Telephone | 6122014608 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5823 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4875 COTTONWOOD LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598160939 | Shama Ahuja | Pediatrics | 12459 White Tail Ct, Plymouth, MI 48170-2875 | 2014-10-28 |
| 1447492855 | Zarina S Norton | Pediatrics | 49906 Fuller Ct, Plymouth, MI 48170-2869 | 2009-03-31 |
| 1811023617 | Sarah Lacy | Pediatrics | 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | 2007-02-26 |
| 1942309653 | Performance Pediatrics, LLC | Pediatrics | 23 Aldrin Rd, Plymouth, MA 02360-4803 | 2006-09-21 |
| 1295751543 | Virnaliza Cassidy | Pediatrics | 3 Village Grn N, Suite 321, Plymouth, MA 02360-8803 | 2006-07-13 |
| 1881652303 | Ann M Powers | Pediatrics | 110 Long Pond Rd Ste 211, Long Pond Pediatrics Osteopathy PC, Plymouth, MA 02360 | 2006-05-03 |
| 1144281072 | Nancy Crocker | Pediatrics | 71 Highland St, Plymouth, NH 03264-1233 | 2006-03-30 |
| 1891765665 | Heidi Sophia Gomes | Pediatrics | 139 Sandwich St, Plymouth, MA 02360 | 2006-01-25 |
| 1235123217 | Mary Alonzi | Pediatrics | 9365 N Haggerty Rd, Plymouth, MI 48170-4622 | 2005-09-07 |
| 1629075577 | Christine Stankovic | Pediatrics | 990 W Ann Arbor Trl, Suite 210, Plymouth, MI 48170-6204 | 2005-07-07 |
| Find all providers in PLYMOUTH | ||||
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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.