PAUL T FADDEN (NPI# 1154450708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154450708 |
| Entity Type | Individual |
| Full Name | PAUL T FADDEN |
| Credential | MD |
| Practice Address |
6525 France Ave S Suite 200 Edina MN 55435-2148 |
| Practice Telephone | 9529276501 |
| Practice Fax Number | 9526531435 |
| Mailing Telephone | 9529276501 |
| Mailing Fax Number | 9526531435 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 44963 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 19003930 | 01 | |
| BS | 34452FA | 01 | |
| MN | 080822900 | 05 |
| Street Address |
6525 FRANCE AVE S SUITE 200 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333781 | Martin Lee Immerman | Obstetrics & Gynecology | 6525 France Ave S, Paul Larson Ob Gyn Clinic Ste 100, Edina, MN 55435-3624 | 2006-02-02 |
| 1013383355 | Fairview Clinics | Obstetrics & Gynecology | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2015-08-20 |
| 1972987113 | Jessica Torres | Advanced Practice Midwife | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2015-07-17 |
| 1730592759 | Melissa Erber Kitzman | Nurse Practitioner | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2014-06-06 |
| 1730428582 | Evexia Rx, LLC | Pharmacy | 6525 France Ave S, Suite #100b, Edina, MN 55435-2148 | 2013-02-13 |
| 1972762631 | Reese Surgical Group Pllc | Surgery | 6525 France Ave S, Suite 305, Edina, MN 55435-2148 | 2008-06-06 |
| 1083888234 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1023282266 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1578772554 | Matthew Robert Braasch | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2007-05-22 |
| 1295879567 | Robert Daniel Silver | Otolaryngology | 6525 France Ave S, Ste 325, Edina, MN 55435-4538 | 2007-02-19 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
| 1881867810 | Matthew John O'shaughnessy | Urology | 6525 France Ave S Ste 200, Edina, MN 55435-2176 | 2008-04-10 |
| 1013993732 | Erol Uke | Urology | 4410 Sunnyside Rd, Edina, MN 55424-1102 | 2005-12-15 |
| 1699165324 | Fairview Express Care | Urology | 6363 France Ave S, Suite 500, Edina, MN 55435-2129 | 2015-02-03 |
| 1295171072 | Joseph Thomas Mahon | Urology | 7500 France Ave S, Edina, MN 55435 | 2013-05-20 |
| 1407154610 | Great Plains Urology, Pllc | Urology | 4410 Sunnyside Rd, Edina, MN 55424-1102 | 2011-03-11 |
| 1154589364 | Stephen D Bennett | Urology | 6363 France Ave S, #500, Edina, MN 55435 | 2008-05-26 |
| 1083888234 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1023282266 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1578772554 | Matthew Robert Braasch | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2007-05-22 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on PAUL T FADDEN.
| 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.