MR. DAVID CRAIG BAUMRUCKER (NPI# 1164941449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164941449 |
| Entity Type | Individual |
| Full Name | MR. DAVID CRAIG BAUMRUCKER |
| Credential | MA, LPCC, NCC |
| Practice Address |
7501 80th St S Ste 210 Cottage Grove MN 55016-3063 |
| Practice Telephone | 6517973171 |
| Practice Fax Number | 6519250604 |
| Mailing Telephone | 6517973171 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
02165 | MN | Behavioral Health & Social Service Providers |
| Street Address |
7501 80TH ST S STE 210 |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790213791 | Kitty Berry | Counselor | 31161 Kenady Ln, Cottage Grove, OR 97424-9721 | 2017-06-02 |
| 1992184279 | Tammy Hatling | Counselor | 932 S U St, Cottage Grove, OR 97424-3904 | 2015-05-20 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| 1720216344 | Christopher Johnathan Cooper | Counselor | 315 Roberts Ln, Cottage Grove, OR 97424-1763 | 2009-06-23 |
| 1023138088 | Cottage Grove Counseling Clinic, Inc. | Counselor | 411 Washington Ave, Cottage Grove, OR 97424-2060 | 2007-03-30 |
| 1871642942 | Jill Robertson | Counselor | 1345 Birch Street, Cottage Grove, OR 97424-1307 | 2007-01-09 |
| 1376602706 | Deborah Blackstone | Counselor | 410 N 9th St, Cottage Grove, OR 97424-1307 | 2006-12-08 |
| 1497362040 | Ashley Marie Kincaid | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-28 |
| 1164039897 | Lauren Appell | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-27 |
| 1720603285 | Jones David Hollister | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-06-10 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on MR. DAVID CRAIG BAUMRUCKER.
| 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.