DR. DOUGLAS MARK SODERBERG (NPI# 1215997952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215997952 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MARK SODERBERG |
| Other Name | DR. DOUGLAS MARK SODERBERG |
| Credential | M.D. |
| Practice Address |
5415 Queen Ave S Minneapolis MN 55410-2530 |
| Practice Telephone | 6129631367 |
| Practice Fax Number | 6126773324 |
| Mailing Telephone | 6129631367 |
| Mailing Fax Number | 6126773324 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 26672 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
5415 QUEEN AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55410-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1396926077 | Julie Anne Hurtuhise | Occupational Therapist | 4516 Zenith Ave S, Minneapolis, MN 55410 | 2007-11-21 |
| 1063534634 | Pat Brendon Obrien | Chiropractor | 5049 France Ave S, Minneapolis, MN 55410 | 2007-04-04 |
| 1144322272 | Ted Marvin Beeman | Dentist | 2306 W 50th St, Minneapolis, MN 55410 | 2006-09-01 |
| 1306840848 | Rhondi L Miller | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2005-06-13 |
| 1063935732 | Caryn Herrick | Physical Therapist | 5400 France Ave S, Edina, MN 55410 | 2017-07-25 |
| 1578858643 | David A. Cook, Dds, Pa | Dentist | 4999 France Ave S, Suite 230, Minneapolis, MN 55410 | 2011-06-16 |
| 1457682395 | Katrina Koller | Massage Therapist | 4049 Abbott Ave S, Minneapolis, MN 55410-1002 | 2010-01-15 |
| 1659538296 | Mary Ann Ryken | Physical Medicine & Rehabilitation | 3800 Vincent Ave S, Minneapolis, MN 55410-1122 | 2008-05-21 |
| 1578824330 | Stephens Psychological Services | Psychologist | 3829 Washburn Ave S, Minneapolis, MN 55410-1129 | 2012-06-07 |
| Find all providers in zip 55410 | ||||
| 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 | 55410 |
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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.