PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1285713594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285713594 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
250 Central Ave N Wayzata MN 55391-1206 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529938250 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MN | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2419162 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
250 CENTRAL AVE N |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1821538240 | Rebecca Christine Fichtel | Physician Assistant | 250 Central Ave N, Suite #220 & #228, Wayzata, MN 55391-1206 | 2017-03-04 |
| 1427457209 | Matthew David Quanrud | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2014-08-18 |
| 1073929543 | Lucas G Dueffert | Physical Therapist | 250 Central Ave N, Suite Ll 10, Wayzata, MN 55391-1206 | 2014-07-06 |
| 1962742650 | Taylor J. Stephens, D.d.s, P.a. | Clinic/Center | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2013-02-18 |
| 1245562180 | Brian A Gehling | Physical Therapist | 250 Central Ave N, Suite Ll-10, Wayzata, MN 55391-1206 | 2010-02-03 |
| 1710146394 | Taylor Stephens | Dentist | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2008-06-09 |
| 1659554517 | Wayzata Dental, Ltd. | Dentist | 250 Central Ave N, Suite 202, Wayzata, MN 55391-1206 | 2007-12-13 |
| 1689867129 | Terry Boksberger | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2007-08-18 |
| 1083814206 | Monica Kennard,d.d.s.,p.a. | Dentist | 250 Central Ave N, Suite 211, Wayzata, MN 55391-1208 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326356817 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1055 Wayzata Blvd E, Wayzata, MN 55391-1000 | 2010-09-17 |
| 1679643100 | F & G Optical Inc | Durable Medical Equipment & Medical Supplies | 852 Lake St E, Unit A, Wayzata, MN 55391-4523 | 2006-11-09 |
| 1740692698 | Medlife Solutions | Durable Medical Equipment & Medical Supplies | 901 Twelve Oaks Center Dr, Suite 900, Wayzata, MN 55391-4701 | 2014-05-27 |
| 1265506661 | Cgps, Inc | Durable Medical Equipment & Medical Supplies | 801 Twelve Oaks Center Dr, Suite 816a, Wayzata, MN 55391-4601 | 2006-11-17 |
| 1972685733 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 250 Central Ave N, Suite 205, Wayzata, MN 55391-1206 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
| 1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
| 1932706082 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 131 St Olaf Ave N, Canby, MN 56220-1371 | 2020-10-01 |
| 1154936540 | Caerus Corp | Durable Medical Equipment & Medical Supplies | 1251 Red Fox Rd # 603, Arden Hills, MN 55112-6943 | 2020-09-11 |
| 1043829286 | Janet Kay Strassburg | Durable Medical Equipment & Medical Supplies | 4601 Excelsior Blvd Ste 401, St Louis Park, MN 55416-4977 | 2020-07-23 |
| 1336766294 | Royal Apex Solutions LLC | Durable Medical Equipment & Medical Supplies | 700 Fox Rd, Lino Lakes, MN 55014-5468 | 2020-06-26 |
| 1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1942829569 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2300 Hasting Ave, Suite 1, Newport, MN 55055 | 2020-04-14 |
| 1508495797 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1201 Center Ave W, Dilworth, MN 56529-1352 | 2020-04-08 |
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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.