MRS. JENNIFER M VESELY (NPI# 1124346465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124346465 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER M VESELY |
| Credential | M.D. |
| Practice Address |
6600 Excelsior Blvd Suite 160 St Louis Park MN 55426-4744 |
| Practice Telephone | 9529937711 |
| Practice Fax Number | 9529936798 |
| Mailing Telephone | 9529937711 |
| Mailing Fax Number | 9529936798 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54308 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6600 EXCELSIOR BLVD SUITE 160 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295587 | Michael Dukinfield | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2005-12-07 |
| 1669984274 | Auguste C Wolle | Physician Assistant | 6600 Excelsior Blvd, St Louis Park, MN 55426 | 2017-11-05 |
| 1255866877 | Tyler Lacey | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-21 |
| 1154855484 | Amanda Marie Honsvall Hoefler | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-13 |
| 1760869200 | Ashley Estrem | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2015-05-05 |
| 1316324957 | Stephen Norbert Schwartz | Family Medicine | 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426-4744 | 2015-05-04 |
| 1356728331 | Nicole James | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 | 2015-04-29 |
| 1669892964 | Kaitlyn Henkelman | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2014-04-24 |
| 1588084248 | Brittany Solc | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426 | 2014-04-21 |
| 1932480100 | Lauren B Fogel Mersy | Psychologist | 6600 Excelsior Blvd, St Louis Park, MN 55426-4744 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065279 | Kristin Kay Christiansen | Family Medicine | 6600 Excelsior Blvd Ste 181, St Louis Park, MN 55426-4747 | 2006-06-26 |
| 1720040900 | Himanshu S Sharma | Family Medicine | 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713 | 2006-04-04 |
| 1174500995 | Thomas A Schmidt | Family Medicine | Methodist Hospital Administration, 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2005-12-22 |
| 1275519563 | Deborah Mangham | Family Medicine | 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 2005-12-19 |
| 1043295587 | Michael Dukinfield | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2005-12-07 |
| 1669471900 | Michael A Dole | Family Medicine | 3408 Dakota Ave S, St Louis Park, MN 55416-2312 | 2005-07-19 |
| 1386135622 | Jessica Jane Miller | Family Medicine | 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713 | 2018-05-22 |
| 1295180628 | Isaac Zoller | Family Medicine | 6600 Excelsior Blvd Ste 160, St Louis Park, MN 55426-4713 | 2016-05-04 |
| 1609259688 | Maria Teresa Gonzalez Bolanos | Family Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2015-07-08 |
| 1538540109 | Elina Lipovskiy | Family Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416 | 2015-06-09 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
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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.