INTEGRATIVE IMMUNITY HEALTH SYSTEM PC (NPI# 1265802052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265802052 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE IMMUNITY HEALTH SYSTEM PC |
| Practice Address |
6600 France Ave S Ste 600 Edina MN 55435-1813 |
| Practice Telephone | 9522223879 |
| Practice Fax Number | 9522223919 |
| Mailing Telephone | 9522223879 |
| Mailing Fax Number | 9522223919 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | DR. BENOIT D TANO (MD/OWNER) |
| Authorized Official Telephone | 9522223879 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
56126 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10850 Rhode Island Ave S, Bloomington, MN 554382300 | 9037053500 |
| Street Address |
6600 FRANCE AVE S STE 600 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1813 |
| 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 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548550916 | Britta Sundquist | Allergy & Immunology | 3955 Parklawn Ave Ste 120, Edina, MN 55435 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740393198 | Allergy, Asthma & Pulmonary Associates, Pa | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2006-08-17 |
| 1023022613 | Richard John Morris | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 200, Maple Grove, MN 55369-7073 | 2006-07-28 |
| 1154335990 | Pramod S Kelkar | Allergy & Immunology | 12000 Elm Creek Blvd N Ste 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1952315509 | Thomas J Helm | Allergy & Immunology | 12000 Elm Creek Blvd, Suite 360, Maple Grove, MN 55369-7076 | 2006-07-28 |
| 1114962206 | North Clinic, Pa | Allergy & Immunology | 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 | 2006-06-20 |
| 1821057910 | Amy M Berglin | Allergy & Immunology | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2006-03-20 |
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1932523321 | Center for Eosinophilic Esophagitis and Food Allergy | Allergy & Immunology | 1511 Northway Dr Ste 101, Saint Cloud, MN 56303-1262 | 2014-02-06 |
| 1255642294 | Aaron Pinion | Allergy & Immunology | 290 Main St Nw, Elk River, MN 55330-1270 | 2010-06-24 |
| 1295907152 | Amy R Ellingson Md Pa | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2008-03-31 |
| 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.