AMY B SPOMER (NPI# 1285611673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285611673 |
| Entity Type | Individual |
| Full Name | AMY B SPOMER |
| Practice Address |
6490 Excelsior Blvd Ste W01 Park Nicollet Clinic - Mead St Louis Park MN 55426 |
| Mailing Address |
6465 Wayzata Blvd Ste 315 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529933248 |
| Practice Fax Number | 9529932810 |
| Mailing Telephone | 9529937169 |
| Mailing Fax Number | 9529930300 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
38755 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6490 EXCELSIOR BLVD STE W01 PARK NICOLLET CLINIC - MEAD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| 1962845172 | Michael Benjamin Blazar | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426 | 2013-04-08 |
| 1598025314 | Jayanthi Vijayakumar | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2012-05-26 |
| 1124311048 | Karen Elizabeth Rabenau | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2011-05-25 |
| 1952310237 | Brenda R Larson | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-08-05 |
| 1720038748 | Lorre Ann Ochs | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-4375 | 2006-05-11 |
| 1710949920 | Daniel M Anderson | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2006-04-04 |
| 1457338378 | Mark Wilkowske | Internal Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-4375 | 2005-12-30 |
| 1760469928 | Mark Menge | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-29 |
| 1134104458 | Martin W Lee | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-09 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on AMY B SPOMER.
| 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.