JILL HARRIET RUSTERHOLZ (NPI# 1154325942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154325942 |
| Entity Type | Individual |
| Full Name | JILL HARRIET RUSTERHOLZ |
| Credential | M.D. |
| Practice Address |
6565 France Ave S Suite 200 Edina MN 55435-2137 |
| Practice Telephone | 9528060011 |
| Practice Fax Number | 9528069741 |
| Mailing Telephone | 9528060011 |
| Mailing Fax Number | 9528069741 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25083 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 605307600 | 05 |
| Street Address |
6565 FRANCE AVE S SUITE 200 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224965 | Sheila Rosenthal Goodman | Obstetrics & Gynecology | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2005-06-09 |
| 1174989560 | Northern Veins, P.a. | Internal Medicine | 6565 France Ave S, Suite 101, Edina, MN 55435-2137 | 2016-01-14 |
| 1033530167 | Katherine Balcom Valek | Physician Assistant | 6565 France Ave S, Suite 375, Edina, MN 55435-2137 | 2013-12-16 |
| 1164736195 | Robin J Ou-yang | Obstetrics & Gynecology | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2010-08-02 |
| 1225357411 | Alison L Buck | Obstetrics & Gynecology | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2010-05-27 |
| 1629236757 | Kristine Lund Sanow | Obstetrics & Gynecology | 6565 France Ave S, Suite 300, Edina, MN 55435-2137 | 2008-05-27 |
| 1326226507 | Marc Christopher Osborne | Colon & Rectal Surgery | 6565 France Ave S, Suite 375, Edina, MN 55435-2137 | 2008-02-09 |
| 1881886018 | Meredith Kasbohm | Obstetrics & Gynecology | 6565 France Ave S, Suite 200, Edina, MN 55435-2137 | 2007-08-12 |
| 1427256395 | Sarah A. Vogler | Surgery | 6565 France Ave S, 375, Edina, MN 55435-2137 | 2007-07-03 |
| 1932226701 | Sarah Wilson Grahn | Colon & Rectal Surgery | 6565 France Ave S, 375, Edina, MN 55435-2137 | 2007-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154524056 | Thomas D Dressel Md Pa | Specialist | 6545 France Ave So., Suite 301, Edina, MN 55435 | 2007-06-07 |
| 1679615298 | Robert A Coates | Specialist | 6305 Post Ln, Edina, MN 55439-1040 | 2007-02-12 |
| 1427110683 | Silvia Divinetz Romero | Specialist | 5200 Willson Rd., #405, Edina, MN 55423 | 2006-12-14 |
| 1912919960 | William Carter | Specialist | 6545 France Ave S # 300, Edina, MN 55435-2131 | 2006-08-11 |
| 1427066067 | Geoffrey Scott Getnick | Specialist | 7400 France Ave S Ste 107, Edina, MN 55435-4738 | 2006-08-03 |
| 1144264995 | Edina Retina Consultants | Specialist | 6525 France Ave S Ste 115, Edina, MN 55435-2283 | 2006-06-15 |
| 1558337154 | Robert L Gauthier | Specialist | 7261 Ohms Ln, Edina, MN 55439-2148 | 2006-02-24 |
| 1669464970 | Jeffrey Paul Sanderson | Specialist | 5137 Gus Young Lane, Sanderson Eye Specialists, Edina, MN 55436 | 2005-08-22 |
| 1972507754 | Susan Lee Dahlin | Specialist | 6517 Drew Ave S, Edina, MN 55435-2103 | 2005-06-09 |
| 1568841369 | Zen Chiropractic Inc | Specialist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2015-05-26 |
| Find all providers in EDINA | ||||
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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.