JAMES MICHAEL MARQUARDT (NPI# 1114007705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114007705 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL MARQUARDT |
| Credential | MD |
| Practice Address |
3585 Lexington Avenue North Suite 350 Shoreview MN 55126-8056 |
| Practice Telephone | 6514843942 |
| Practice Fax Number | 6517870519 |
| Mailing Telephone | 6512515280 |
| Mailing Fax Number | 6512515282 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
29772 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 08280700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164640223 | James E Marquardt | Psychiatry & Neurology | 1650 38th St, #203w, Boulder, CO 80301-2623 | 2007-04-23 |
| 1255451738 | James P Marquardt | Chiropractor | 1203 Mount Ave, Missoula, MT 59801-5601 | 2007-03-30 |
| Street Address |
3585 LEXINGTON AVENUE NORTH SUITE 350 |
| City | SHOREVIEW |
| State | MN |
| Zip Code | 55126-8056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007659 | Suchitra Rondla | Pediatrics | 3585 Lexington Avenue North, Suite 350, Shoreview, MN 55126-8056 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184964 | Natural Smiles Dental Care | Clinic/Center | 3434 Lexington Ave. N, Suite 700, Shoreview, MN 55126 | 2019-06-24 |
| 1588194740 | Michael Simons | Hearing Instrument Specialist | 1007 Tiller Lane, Shoreview, MN 55126 | 2017-06-19 |
| 1902255441 | Latarsha Nicole Bronaugh | Counselor | 3490 Lexington Ave North, Suite 205, Shoreview, MN 55126 | 2016-06-06 |
| 1265809479 | Emily Elizabeth Bade | Social Worker | 3490 Lexington Ave. N, Suite 205, Shoreview, MN 55126 | 2015-08-24 |
| 1669857520 | Laurel Ann Walsh | Marriage & Family Therapist | 3490 Lexington Ave. N., Suite 205, Shoreview, MN 55126 | 2015-07-21 |
| 1598150930 | Nova Bhs | Psychologist | 521 Tanglewood Dr., Shoreview, MN 55126 | 2015-04-02 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1679843619 | Shoreview Dental Associates | Dentist | 4700 Lexington Avenue N, Suite D, Shoreview, MN 55126 | 2012-01-09 |
| 1700039575 | Jacqueline Elizabeth Hoppenrath | Audiologist | 4570 Churchill St Ste 130, Shoreview, MN 55126 | 2008-10-24 |
| 1164545935 | Lucia Jane Lein | Chiropractor | 1000 W. County Rd. E, 210, Shoreview, MN 55126 | 2007-04-09 |
| Find all providers in zip 55126 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1144214107 | Thresiamma Augustine Joseph | Pediatrics | 3585 Lexington Ave N, Ste 350, Shoreview, MN 55126-8064 | 2005-09-07 |
| 1962496927 | Margaret Jean Hustad | Pediatrics | 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126-8064 | 2005-09-07 |
| 1255325213 | Wendy Marion Nelms Mccabe | Pediatrics | 3585 Lexington Ave N, Suite 350, Shoreview, MN 55126-8064 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275657348 | James Lee Anderson | Pediatrics | 707 Ridgewood Rd, Duluth, MN 55804-1732 | 2007-03-16 |
| 1912069519 | Northern Lights Pediatric & Adolescent Medicine | Pediatrics | 3555 Willow Lake Blvd., Suite 140, Vadnais Heights, MN 55110-4462 | 2006-12-14 |
| 1952473662 | Julia Ann Beckman | Pediatrics | 1547 Livingston Ave, Saint Paul, MN 55118-3411 | 2006-11-15 |
| 1841221892 | Federico Pascual Tinsay | Pediatrics | 15765 Holstein Avenue, Redlake, MN 56671-0497 | 2006-07-06 |
| 1508850561 | Linda J Knapp | Pediatrics | 3555 Willow Lk Blvd, Suite 140, Vadnais Heights, MN 55110 | 2005-09-07 |
| 1669996278 | Leander Dominic Timothy | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-07-26 |
| 1891016481 | St Catherine University | Pediatrics | 2004 Randolph Ave, Mail #4112, Saint Paul, MN 55105-1750 | 2010-06-17 |
| 1376775437 | Lisa Ann Bishop | Pediatrics | 15245 Bluebird St Nw, Andover, MN 55304 | 2009-08-21 |
| 1194975110 | Roy F House | Pediatrics | 200 1st St Sw, Emeritus Staff Center Plummer North 10, Rochester, MN 55905-0001 | 2008-09-26 |
| 1184796898 | Pediatric & Adolescent Care of Mn., P.a. | Pediatrics | 1547 Livingston Ave, Saint Paul, MN 55118-3411 | 2006-11-15 |
| 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.