STEPHANIE TEREZAKIS (NPI# 1053550228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053550228 |
| Entity Type | Individual |
| Full Name | STEPHANIE TEREZAKIS |
| Credential | MD |
| Practice Address |
500 Harvard St Se Minneapolis MN 55455-0363 |
| Mailing Address |
720 Washington Ave Se Ste 300 Minneapolis MN 55414-2904 |
| Practice Telephone | 6122736700 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
64832 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D68563 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
237510 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 023184300 | 05 |
| Street Address |
500 HARVARD ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737359 | Tae Whang Kim | Anesthesiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2005-08-16 |
| 1972100923 | Laura Eggen | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-10-02 |
| 1720695448 | Natalie Jean Olson | Nurse Anesthetist, Certified Registered | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-27 |
| 1316551518 | Zachary Taylor | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-09-04 |
| 1346852969 | Lane M Skalberg | Pharmacist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-17 |
| 1801407192 | Vicky Hedican-sime | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-08-11 |
| 1356967293 | Rachel Saefong | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-06-16 |
| 1467073288 | Shamsah Rehmatullah | Clinical Nurse Specialist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-05-04 |
| 1801417142 | Megan Bergland | Occupational Therapist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-28 |
| 1255951216 | Michael Glenn Petty | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1275627820 | Xin Wang | Radiology | The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 | 2006-10-03 |
| 1073991840 | Lindsey Sloan | Radiology | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2015-05-13 |
| 1790077584 | Christopher Thomas Wilke | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-05-11 |
| 1992993455 | Brenda Aika Shoo | Radiology | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2007-10-10 |
| 1932285988 | David J Monyak | Radiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-10-31 |
| 1013093061 | Patsa H Sullivan | Radiology | 800 E 28th Street, Minneapolis, MN 55407-3723 | 2006-10-31 |
| 1184708638 | Vladimir Kogan | Radiology | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-10-24 |
| 1275614927 | Minnesota Radiation Oncology Group Pa | Radiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-10-18 |
| 1174628770 | James B Orner | Radiology | 500 Harvard Street Se, Radiation Oncology Clinic, Minneapolis, MN 55455 | 2006-09-14 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.