MINNESOTA ONCOLOGY HEMATOLOGY PA (NPI# 1235498619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235498619 |
| Entity Type | Organization |
| Organization Name | MINNESOTA ONCOLOGY HEMATOLOGY PA |
| Practice Address |
2805 Campus Dr Suite 105 Plymouth MN 55441-2676 |
| Practice Telephone | 7635197440 |
| Practice Fax Number | 7635197445 |
| Mailing Telephone | 7635197440 |
| Mailing Fax Number | 7635197445 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | DR. DEAN GESME (PRESIDENT) |
| Authorized Official Telephone | 6128846300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 1076 | MN | Dietary & Nutritional Service Providers |
| N | 170300000X | Genetic Counselor, MS | 1076 | MN | Other Service Providers |
| N | 207R00000X | Internal Medicine | 1076 | MN | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1076 | MN | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598178733 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 110105 Pioneer Trl W, Suite 302, Chaska, MN 55318-2680 | 2014-06-05 |
| 1629387303 | Minnesota Oncology Hematology Pa | Clinic/Center | 3960 Coon Rapids Blvd Nw, # 311, Coon Rapids, MN 55433-2569 | 2010-09-29 |
| 1144281304 | Minnesota Oncology Hematology Pa | Pharmacy | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-03-29 |
| Street Address |
2805 CAMPUS DR SUITE 105 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428223 | Wayzata Orthopedic's P.a. | Orthopaedic Surgery | 2805 Campus Dr, Ste 425, Plymouth, MN 55441-2680 | 2005-06-23 |
| 1215308622 | Lauren Joy Hager | Nurse Practitioner | 2805 Campus Dr, 125, Plymouth, MN 55441-2676 | 2015-10-12 |
| 1316340128 | Lana Abboud | Psychologist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2014-10-07 |
| 1598165664 | Westhealth Surgery Center LLC | Clinic/Center | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-26 |
| 1144629262 | Timothy James Menden | Physical Therapist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-14 |
| 1114332301 | Sp Plastic Surgery, LLC | Plastic Surgery | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2014-06-25 |
| 1376893818 | Colin Joseph Maguire | Dentist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-09-12 |
| 1578821997 | Andrew Steven Houghton | Family Medicine | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-04-24 |
| 1811263551 | Jacob Joseph Haws | Physical Therapist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2012-03-27 |
| 1114225703 | Ness Plastic Surgery, LLC | Specialist | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986464 | Stephan M Hochstin | Internal Medicine | 275 Sandwich St, Club Cancer Center, Plymouth, MA 02360-2183 | 2006-01-12 |
| 1457339335 | Debra Ann White | Internal Medicine | 275 Sandwich St, C/o Cathy Grey, Plymouth, MA 02360-2183 | 2006-01-03 |
| 1013995992 | Irina Gurevich | Internal Medicine | 275 Sandwich St, C/o Cathy Grey, Plymouth, MA 02360-2183 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
| 1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
| 1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
| 1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
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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.