JESSICA A. GREENBLATT (NPI# 1184940660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184940660 |
| Entity Type | Individual |
| Full Name | JESSICA A. GREENBLATT |
| Credential | M.D. |
| Practice Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6128634000 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 57404 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9825 Hospital Dr, Suite 300, Maple Grove, MN 553694479 | 7635877900 | 7634947501 |
| Street Address |
2925 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419644 | Elisa M Smith | Clinical Nurse Specialist | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2005-09-30 |
| 1235736836 | Allina Health System | Clinic/Center | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-10-06 |
| 1477166742 | Erin Eileen Moody | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-26 |
| 1619587029 | Katie Lynn Erickson | Registered Nurse | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-01 |
| 1285264713 | Ryann A Adkins | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-23 |
| 1457981037 | Nicole Elaine Kurtzbein | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-22 |
| 1225698087 | Morgan Hanley | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-06-14 |
| 1336706290 | Seinah D Isaacs | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-05-24 |
| 1245798842 | Megan Pudlik | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-03-04 |
| 1689143414 | Eric Glen Trembath | Nurse Practitioner | 2925 Chicago Ave, Minneapolis, MN 55407 | 2018-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1225395114 | Elizabeth Olajumoke Alabi | Obstetrics & Gynecology | 701 Park Ave Sl350, Hennepin County Medical Center, Minneapolis, MN 55415-0001 | 2012-04-16 |
| 1275764748 | Peter Eilert Fehr | Obstetrics & Gynecology | 3931 Crystal Lake Blvd, Minneapolis, MN 55422-2326 | 2009-08-01 |
| 1134362809 | Maren Flynn | Obstetrics & Gynecology | 8170 33rd. Avenue South, Ms21110q, Minneapolis, MN 55440-1309 | 2009-04-10 |
| 1073755757 | Joshua David Kapfhamer | Obstetrics & Gynecology | 2828 Chicago Ave Ste 400, Minneapolis, MN 55407 | 2009-03-27 |
| 1164617569 | Suzanne Marie Darnell | Obstetrics & Gynecology | 320 Delaware St Se, U of Minnesota, Minneapolis, MN 55455 | 2007-09-09 |
| 1255452611 | Laura Marie Nezworski | Obstetrics & Gynecology | 701 Park Ave # P5.100, Minneapolis, MN 55415-1623 | 2007-04-03 |
| 1336208669 | Rebecca Ruth French | Obstetrics & Gynecology | 606 24th Avenue Sout Suite 300, Riveriside Professional Bldg, Minneapolis, MN 55454 | 2006-12-06 |
| 1457421885 | Preston P Williams | Obstetrics & Gynecology | 420 Delaware St Se, Mmc 395, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-11-09 |
| 1790860682 | Kirk D Ramin | Obstetrics & Gynecology | Maternal-fetal Medicine Center, 606 24th Avenue South, Suite 400, Minneapolis, MN 55454 | 2006-10-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.