SUZANNE M. SHOLL


Address: 909 Fulton St Se, Minneapolis, MN 55455-4800
Phone: 6126765600

SUZANNE M. SHOLL (NPI# 1174857700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174857700
Entity Type Individual
Full Name SUZANNE M. SHOLL
Credential CRNA
Practice Address 909 Fulton St Se
Minneapolis
MN 55455-4800
Mailing Address 5039 Archer Ln N
Plymouth
MN 55446-2745
Practice Telephone 6126765600
Mailing Telephone 6125942425
Enumeration Date 2009-09-29
Last Update Date 2020-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 041379596 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL ILLINOIS LICENSE 041379596 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1555 Barrington Rd, Attn: Anesthesia Department, Hoffman Estates, IL 601691019 8474906932 8478843677

Office Location

Street Address 909 FULTON ST SE
City MINNEAPOLIS
State MN
Zip Code 55455-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558365122 Gary L Bryant Internal Medicine 909 Fulton St Se, Minneapolis, MN 55455-4800 2005-06-10
1437756848 Kelsey Larsen Pharmacist 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 2020-10-08
1518572254 Rachel Elizabeth Kraemer Audiologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-09-10
1912527268 Becca Marie Mahnesmith Nurse Practitioner 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-16
1073142212 Emily Kline Health Educator 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-08
1689200024 Zach Rivers Pharmacist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-03-17
1518506138 Carrie Leigh Kwiatkowski Specialist/Technologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-12-30
1801432414 Abigail Denise Conrad Physician Assistant 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-11-19
1700428497 Ashley Herman Dietitian, Registered 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-10-14
1104471275 Holly Heewon Lee Genetic Counselor, MS 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1942752571 Amber Bakke Nurse Anesthetist, Certified Registered 5037 43rd Ave S, Minneapolis, MN 55417-1616 2016-10-31
1346796745 John Swenson Nurse Anesthetist, Certified Registered 2401 Chicago Ave, Apt 211, Minneapolis, MN 55404-3888 2016-08-26
1972057230 Kelly Langguth Nurse Anesthetist, Certified Registered 5912 10th Ave S, Minneapolis, MN 55417-3136 2016-08-04
1992155907 Danielle Porter Nurse Anesthetist, Certified Registered 3437 Snelling Ave, Minneapolis, MN 55406-2637 2016-06-21
1346658218 Justin Andreas Anderson Nurse Anesthetist, Certified Registered 225 8th Ave Ne, Minneapolis, MN 55413-1922 2014-07-23
1700162955 James Douglas Berchild Nurse Anesthetist, Certified Registered 4315 10th Avenue South, Minneapolis, MN 55407 2011-11-01
1891097374 Anita Patricia Johnson Nurse Anesthetist, Certified Registered 3132 Emerson Ave S Apt 1, Minneapolis, MN 55408-2717 2010-12-03
1578720843 Teresa Losch Nurse Anesthetist, Certified Registered 2828 Chicago Ave Ste 300, Minneapolis, MN 55407-1573 2008-05-22
1679639520 Margaret A Webinger Nurse Anesthetist, Certified Registered 2525 Chicago Avenue S, Childrens Hospital and Clinics of Minnesota, Minneapolis, MN 55404 2006-12-28
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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

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.

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