JENNY L THACKER (NPI# 1174539514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174539514 |
| Entity Type | Individual |
| Full Name | JENNY L THACKER |
| Credential | MD |
| Practice Address |
7301 Ohms Ln Suite 650 Edina MN 55439-2331 |
| Practice Telephone | 9528359880 |
| Practice Fax Number | 9528571554 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 44616 | MN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 32400 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
7301 OHMS LN SUITE 650 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995570 | Erin Florin | Nurse Practitioner | 7301 Ohms Ln, Edina, MN 55439-2331 | 2006-01-05 |
| 1912145368 | Amy Elizabeth Hagstrom | Psychologist | 7301 Ohms Ln, Suite 430, Edina, MN 55439-2331 | 2009-01-22 |
| 1578775193 | David Anthony Romans | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-05-04 |
| 1922139526 | Brandon T Trigger | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-03-08 |
| 1962480210 | Gary A Coon | Emergency Medicine | 7301 Ohms Ln, Ste 650, Edina, MN 55439-2331 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023085289 | Shaun Adams | Emergency Medicine | 6401 France Ave, Fairview Southdale Hospital, Edina, MN 55435 | 2006-03-07 |
| 1770573669 | Jeffrey Michael Young | Emergency Medicine | 7301 Ohms Lane, Suite 650, Emergency Physicians, P.a., Edina, MN 55439-4000 | 2005-10-24 |
| 1336131077 | Christopher Farnan | Emergency Medicine | 7301 Ohms Lane, Suite 650, Edina, MN 55439-4000 | 2005-08-18 |
| 1003094566 | James Raymond Bishop | Emergency Medicine | 6401 France Ave S, Edina, MN 55435-2104 | 2008-02-07 |
| 1952507501 | James Thomas Moe | Emergency Medicine | 6401 France Ave S, Edina, MN 55435-2104 | 2007-06-21 |
| 1578775193 | David Anthony Romans | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-05-04 |
| 1922139526 | Brandon T Trigger | Emergency Medicine | 7301 Ohms Ln, Suite 650, Edina, MN 55439-2331 | 2007-03-08 |
| 1467489302 | Aaron Thomas Holley | Emergency Medicine | 6401 France Ave, Fairview Southdale Hospital, Edina, MN 55435 | 2006-06-27 |
| 1285670836 | Lawrence S Scheuer | Emergency Medicine | 7500 France Ave S, Edina, MN 55435-3400 | 2006-06-21 |
| 1417914060 | Jonathan Lineer | Emergency Medicine | 6401 France Ave S, Fairview Southdale Hosp, Edina, MN 55435 | 2006-04-27 |
| 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.