DR. LUCIANO COSTA AMADO (NPI# 1205035961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205035961 |
Entity Type | Individual |
Full Name | DR. LUCIANO COSTA AMADO |
Credential | MD |
Practice Address |
6405 France Ave S Suite W200 Edina MN 55435-2163 |
Practice Telephone | 6123655000 |
Mailing Telephone | 6123655000 |
Enumeration Date | 2007-07-13 |
Last Update Date | 2013-09-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
107201 | MN | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
107201 | MN | Allopathic & Osteopathic Physicians |
Street Address |
6405 FRANCE AVE S SUITE W200 |
City | EDINA |
State | MN |
Zip Code | 55435-2163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710972864 | Demosthenes N Iskos | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2005-09-14 |
1790145738 | Aybike Bakan-fischer | Physician Assistant | 6405 France Ave S, Edina, MN 55435-2163 | 2016-03-03 |
1225496128 | Stephanie Rose Norgaard-erickson | Nurse Practitioner | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2016-02-05 |
1851717136 | Eric Richard Nelson Md | Ophthalmology | 6405 France Ave S, Suite W460, Edina, MN 55435-2163 | 2014-03-11 |
1538599790 | Fairview Health Services | Clinic/Center | 6405 France Ave S, Suite 480, Edina, MN 55435 | 2013-11-25 |
1538504014 | Erin Jean Frendin | Physician Assistant | 6405 France Ave S, Ste W200, Edina, MN 55435-2163 | 2013-05-09 |
1689937963 | Brittany N Smith | Physician Assistant | 6405 France Ave S, Edina, MN 55435 | 2012-06-21 |
1336409978 | Katherine Eileen Hawkins | Surgery | 6405 France Ave S, Edina, MN 55435-2163 | 2012-05-16 |
1265721906 | Joy A Hasseler | Obstetrics & Gynecology | 6405 France Ave S, Ste W400, Edina, MN 55435-2163 | 2011-04-04 |
1710133343 | Fairview Express Care | Internal Medicine | 6405 France Ave S, Ste 200, Edina, MN 55435-2163 | 2008-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477569895 | Huagui Li | Internal Medicine | 6405 France Ave S Ste W200, Edina, MN 55435-2186 | 2006-07-31 |
1932159894 | Quan Pham | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043507577 | Yan Dong | Internal Medicine | 1001 E Superior St Ste 201, Duluth, MN 55802-2228 | 2011-07-05 |
1639464498 | Ryan J Koene | Internal Medicine | 172 6th St E, Saint Paul, MN 55101-1993 | 2011-06-09 |
1629267588 | Edriss Ali Charaf | Internal Medicine | 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 | 2007-10-17 |
1184662967 | Marco A Guerrero | Internal Medicine | 640 Jackson Street - Ms 11102m, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-06-03 |
1598390072 | Haley Stebbing | Internal Medicine | 800 E 28th St # H2100, Minneapolis, MN 55407-3723 | 2020-03-05 |
1477018596 | Darwin Yeung | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2019-02-02 |
1336628007 | Walid Barake | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2018-08-13 |
1790203156 | Avi Sabbag | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-09-06 |
1366883712 | Fatima Ali-ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-15 |
1891044400 | Narayan Gurukrip Kowlgi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-08-29 |
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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.