GISELE BOURONCLE (NPI# 1205895406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205895406 |
| Entity Type | Individual |
| Full Name | GISELE BOURONCLE |
| Credential | M.D. |
| Practice Address |
44 W 66th St Richfield MN 55423-2316 |
| Practice Telephone | 6128738200 |
| Practice Fax Number | 6127988270 |
| Mailing Telephone | 6128738200 |
| Mailing Fax Number | 6127988270 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38116 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 09G03BO | 01 |
| MN | UCARE | 101823 | 01 |
| MN | PREFERRED ONE | NA9021019257 | 01 |
| MN | MEDICA | 0116104 | 01 |
| MN | MN HEALTH PLAN | 821718100 | 01 |
| MN | HEALTH PARTNERS | HP24194 | 01 |
| MN | 821718100 | 05 |
| Street Address |
44 W 66TH ST |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366825473 | Jaclyn Henry | Psychologist | 44 W 66th St, Richfield, MN 55423-2316 | 2015-07-07 |
| 1467707521 | Sara Bernadette Dauphinais | Physician Assistant | 44 W 66th St, Richfield, MN 55423-2316 | 2012-07-16 |
| 1124075783 | Patricia M Barland | Dietitian, Registered | 44 W 66th St, Richfield, MN 55423-2316 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205840642 | Jeffrey J Brown | Family Medicine | 70 E 1100 N, Richfield, UT 84701-1852 | 2006-07-29 |
| 1104842350 | Kerri Jobarnes Hammer | Family Medicine | 6445 Richfield Parkway, Richfield, MN 55423 | 2006-07-14 |
| 1356380109 | Gene W Reisinger | Family Medicine | 14229 Route 35, Richfield, PA 17086-8711 | 2006-06-06 |
| 1861472250 | Maryam Hosseini-dehkordi | Family Medicine | 6440 Nicollet Ave, Richfield, MN 55423-1613 | 2006-01-20 |
| 1780664052 | David P Brockway | Family Medicine | 6440 Nicollet Ave So, Richfield, MN 55423-1697 | 2006-01-20 |
| 1073594115 | Stanly Medical Services | Family Medicine | 243 Highway 49 N, Richfield, NC 28137-5731 | 2005-11-07 |
| 1326537564 | Geisinger Clinc | Family Medicine | 14229 Route 35, Richfield, PA 17086-8711 | 2018-05-03 |
| 1073993283 | Colten Dirk Bracken | Family Medicine | 1000 N Main St, Richfield, UT 84701-2061 | 2015-06-02 |
| 1275925919 | Steven James Jones | Family Medicine | 1000 N Main St, Richfield, UT 84701-2061 | 2015-03-03 |
| 1821418500 | Jared West | Family Medicine | 1000 N Main St Ste A, Richfield, UT 84701-2069 | 2014-04-22 |
| Find all providers in RICHFIELD | ||||
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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.