PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1073837134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073837134 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
1515 Saint Francis Ave Shakopee MN 55379-3387 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529937750 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
1515 SAINT FRANCIS AVE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432716 | Michael Jon Walker | Surgery | 1515 Saint Francis Ave, #100, Shakopee, MN 55379-3387 | 2006-01-20 |
| 1295101178 | Autumn Lani Brown Lovas | Advanced Practice Midwife | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2015-08-14 |
| 1952618464 | Dental Specialists of Minnesota, Pllc | Dentist | 1515 Saint Francis Ave, Suite 145, Shakopee, MN 55379-3387 | 2010-09-03 |
| 1154500718 | Heidi Jo Whipple Ohlmann | Physical Therapist | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-10-31 |
| 1447444666 | Edwin Ndemo Bogonko | Internal Medicine | 1515 Saint Francis Ave, Suite # 100, Shakopee, MN 55379-3387 | 2007-08-30 |
| 1346433083 | Sarah Marie Vonbank | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1700079365 | Valley Rehabilitation Services | Clinic/Center | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1215146550 | Jodi Lynn Winters | Physician Assistant | 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 | 2007-05-22 |
| 1952517930 | Roselee Waller Wondra | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-05-15 |
| 1902951403 | Debbie M Kalish | Occupational Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821232653 | Pindrop Hearing of South Central Minnesota | Hearing Aid Equipment | 205 Lewis St S, Shakopee, MN 55379-1459 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183568 | Costco Wholesale Corporation | Hearing Aid Equipment | 995 Blue Gentian Rd, Eagan, MN 55121-1542 | 2019-09-18 |
| 1275006553 | Gn Hearing Care Corp | Hearing Aid Equipment | 1312 7th St Nw Ste C, Rochester, MN 55901-1704 | 2019-01-09 |
| 1922539329 | Iowa Hearing Associates LLC | Hearing Aid Equipment | 940 Frontenac Dr Ste 110, Winona, MN 55987-6588 | 2017-03-27 |
| 1881131290 | Arbor Audiology LLC | Hearing Aid Equipment | 3025 Harbor Ln N Ste 105, Plymouth, MN 55447-5106 | 2017-01-23 |
| 1427594290 | Audiology Concepts Group | Hearing Aid Equipment | 6446 Xerxes Ave S, Edina, MN 55423-1039 | 2017-01-17 |
| 1861897753 | Amplified Resource Group LLC | Hearing Aid Equipment | 21056 France Blvd, Lakeville, MN 55044-6117 | 2014-11-04 |
| 1790115269 | Restisense Corporation | Hearing Aid Equipment | 1629 County Road C W, Roseville, MN 55113-1302 | 2013-11-20 |
| 1356781470 | Rolandson Hearing Aid Center | Hearing Aid Equipment | 108 W Lincoln Ave, Fergus Falls, MN 56537-2123 | 2013-07-03 |
| 1508108861 | Prairie Sound Hearing | Hearing Aid Equipment | 1433 N 5th St, Montevideo, MN 56265-1032 | 2013-03-25 |
| 1174882039 | Hi Healthinnovations | Hearing Aid Equipment | 11020 Optum Cir, Mn 102-0200, Eden Prairie, MN 55344-2503 | 2012-05-14 |
| 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.