JONATHAN C GIPSON (NPI# 1194705566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194705566 |
| Entity Type | Individual |
| Full Name | JONATHAN C GIPSON |
| Credential | M.D. |
| Practice Address |
9825 Hospital Dr Ste 105 Maple Grove MN 55369-4769 |
| Mailing Address |
9825 Hospital Dr Suite 105 Maple Grove MN 55369-4479 |
| Practice Telephone | 7637806699 |
| Practice Fax Number | 7634200500 |
| Mailing Telephone | 7637806699 |
| Mailing Fax Number | 7634200500 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 44697 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 073403900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 39th Ave Ne, Minneapolis, MN 554214379 | 7637806699 | 7634200500 |
| 11855 Ulysses St Ne Ste 210, Blaine, MN 554344181 | 7637806699 | 7634200500 |
| 1700 Highway 25 N Ste 120, Buffalo, MN 553131930 | 7637806699 | 7634200500 |
| 5700 Bottineau Blvd Ste 100, Crystal, MN 554293184 | 7637806699 | 7634200500 |
| 480 Osborne Rd Ne Ste 100, Fridley, MN 554322781 | 7637806699 | 7634200500 |
| 3366 Oakdale Ave N Ste 200, Robbinsdale, MN 554222962 | 7637806699 | 7634200500 |
| 1495 County Road 101 N, Plymouth, MN 554473078 | 7637806699 | 7634200500 |
| 15450 Highway 7 Ste 225, Minnetonka, MN 553453522 | 7637806699 | 7634200500 |
| 7600 France Ave S Ste 4100, Edina, MN 554356027 | 7637806699 | 7634200500 |
| 7373 France Ave S Ste 408, Edina, MN 554354549 | 7637806699 | 7634200500 |
| 6565 France Ave S Ste 350, Edina, MN 554352159 | 7637806699 | 7634200500 |
| 15450 Highway 7 Ste 7, Minnetonka, MN 553453522 | 7637806699 | 7634200500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679998140 | Jonathan Gipson | Nurse Practitioner | 2603 Kentucky Ave, Suite 404, Paducah, KY 42003-3814 | 2014-02-20 |
| 1033109277 | Jonathan S Gipson | Anesthesiology | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2005-10-27 |
| Street Address |
9825 HOSPITAL DR STE 105 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033753546 | Kelsey Kostreba | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2019-10-29 |
| 1376012831 | Alison O'meara | Registered Nurse | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2018-11-14 |
| 1477053361 | Jessica N Schindler | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2018-02-16 |
| 1831530617 | Ryan Ernest Chupp | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 | 2013-07-09 |
| 1437417763 | Munyaradzi Chimukangara | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 | 2012-04-24 |
| 1275761827 | Rachel Maureen Tay | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2009-06-22 |
| 1407003205 | Sarah Lippert | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-08-22 |
| 1992960207 | Kourtney Lynn Kemp | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-07-25 |
| 1164695581 | Corey J Stennes | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-04-07 |
| 1558532606 | Kamrun Jenabzadeh | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215969902 | Crystal Fialova Lumi | Surgery | 15552 68th Pl N, Maple Grove, MN 55311-3291 | 2006-07-06 |
| 1740255884 | Dana M Carlson | Surgery | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2006-02-22 |
| 1831530617 | Ryan Ernest Chupp | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 | 2013-07-09 |
| 1437417763 | Munyaradzi Chimukangara | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 | 2012-04-24 |
| 1275761827 | Rachel Maureen Tay | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2009-06-22 |
| 1407003205 | Sarah Lippert | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-08-22 |
| 1992960207 | Kourtney Lynn Kemp | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-07-25 |
| 1154583631 | Kyle R Barker | Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-06-26 |
| 1164695581 | Corey J Stennes | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-04-07 |
| 1558532606 | Kamrun Jenabzadeh | Surgery | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2008-03-17 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on JONATHAN C GIPSON.
| 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.