DR. TENNER JOHAN GUILLAUME (NPI# 1215133129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215133129 |
| Entity Type | Individual |
| Full Name | DR. TENNER JOHAN GUILLAUME |
| Credential | MD |
| Practice Address |
200 University Ave E Gillette Children's Specialty Healthcare Saint Paul MN 55101-2507 |
| Practice Telephone | 6515785197 |
| Practice Fax Number | 6513123188 |
| Mailing Telephone | 6515785197 |
| Mailing Fax Number | 6513123188 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A99345 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
53014 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
200 UNIVERSITY AVE E GILLETTE CHILDREN'S SPECIALTY HEALTHCARE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138882 | Tara Vonne Brodersen | Dentist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2005-10-18 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1144843343 | Smitha Elizabeth Mathew | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-05-21 |
| 1750927554 | Carol Skerbitz | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-27 |
| 1780220798 | Karri Larson | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-25 |
| 1316583560 | Julia Lang | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1033755285 | Stephanie K Campbell | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-22 |
| 1629614912 | Ashley Ann Clintsman | Dietitian, Registered | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-11-21 |
| 1770057135 | Katherine Marie Nelson | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093020950 | Eduardo J. Colom Beauchamp | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863316 | John G. Stark M.d.p.a. | Orthopaedic Surgery | 825 Nicollet Mall Ste 715, Minneapolis, MN 55402-2613 | 2007-10-31 |
| 1740220466 | Thomas Vincent Rieser | Orthopaedic Surgery | 1950 Curve Crest Blvd W Ste 130, Stillwater, MN 55082-6062 | 2006-06-08 |
| 1598712788 | Glenn Robin Buttermann | Orthopaedic Surgery | 1835 County Road C W Ste 150, Roseville, MN 55113-1343 | 2006-05-31 |
| 1649220849 | Garry M Banks | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2006-05-11 |
| 1114989555 | Sunny S Kim | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2006-04-03 |
| 1023001815 | Ilbnc, P.a. | Orthopaedic Surgery | 3001 Metro Dr, Suite 330, Bloomington, MN 55425-4506 | 2005-08-26 |
| 1881690493 | Daniel W Hanson | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2005-06-28 |
| 1336765098 | Inspired Spine Surgcenter LLC | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-06-18 |
| 1427686575 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2020-04-01 |
| 1205481041 | Sunny S. Kim, Md Pa | Orthopaedic Surgery | 1601 Highway 13 E Ste 211, Burnsville, MN 55337-5105 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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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.