DENNIS JOHN CALLAHAN (NPI# 1154390417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154390417 |
Entity Type | Individual |
Full Name | DENNIS JOHN CALLAHAN |
Credential | MD |
Practice Address |
9055 Springbrook Dr Nw Coon Rapids MN 55433-5841 |
Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
Practice Telephone | 7637809155 |
Mailing Telephone | 6122624813 |
Mailing Fax Number | 6122624194 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
26205 | MN | Allopathic & Osteopathic Physicians |
Street Address |
9055 SPRINGBROOK DR NW |
City | COON RAPIDS |
State | MN |
Zip Code | 55433-5841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306833454 | Julie M Jones | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2005-10-04 |
1235745126 | Allison Usset Gilles | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
1649886565 | Allina Health System | Clinic/Center | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
1851924302 | Jenna Michele Borgstrom | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-02-12 |
1346887585 | Andria Sammon | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-12-06 |
1679126080 | Kayla Wenner | Dietitian, Registered | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 | 2019-07-24 |
1710541586 | Meri Ellen Parady | Social Worker | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-04-27 |
1659835734 | Alisha Leigh Freeburg | Registered Nurse | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-01-23 |
1588146732 | Erika Janet Hachey | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-09-04 |
1083192702 | Hannah Mork | Audiologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-08-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
Find all providers in zip 55433 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629242979 | Jessica M Downes | Orthopaedic Surgery | 701 Park Ave B, Henepin County Medical Center, Minneapolis, MN 55415 | 2008-04-17 |
1609872159 | Lance Michael Silverman | Orthopaedic Surgery | 6600 France Ave S, Ste 605, Edina, MN 55435-1807 | 2005-06-21 |
1942498225 | Tracy D Rupke | Orthopaedic Surgery | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 2007-10-11 |
1780882662 | John Clinton Tanner IIi | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-03 |
1730390238 | Jeffrey Daniel Seybold | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2007-05-25 |
1891729000 | Johannes Christiaan Coetzee | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-11 |
1912984915 | Ross Paskoff | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2005-12-30 |
City | COON RAPIDS |
Zip Code | 55433 |
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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.