A B M MASUDUR RAHMAN (NPI# 1295027514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295027514 |
Entity Type | Individual |
Full Name | A B M MASUDUR RAHMAN |
Credential | MD |
Practice Address |
4010 W 65th St Edina MN 55435-1706 |
Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
Practice Telephone | 9524567000 |
Practice Fax Number | 9524567001 |
Mailing Telephone | 9525125600 |
Mailing Fax Number | 9525125651 |
Enumeration Date | 2011-05-04 |
Last Update Date | 2014-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
57303 | MN | Allopathic & Osteopathic Physicians |
Street Address |
4010 W 65TH ST |
City | EDINA |
State | MN |
Zip Code | 55435-1706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
1164029419 | Carli Marie Walker | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-08 |
1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
1922657501 | Chase William Hanson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-09-06 |
1427610120 | Megan Lee Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-07-02 |
1902384159 | Kathleen Ann Heimer | Occupational Therapist | 4010 W 65th St, Edina, MN 55435 | 2018-07-31 |
1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
1548761729 | Kaitlyn Ann Lindahl | Occupational Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2018-02-23 |
1386161552 | Breanna Nicole Smith | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2017-08-28 |
1891218095 | Christopher Andrew Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2017-07-19 |
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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 |
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Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225354947 | Nathan George Butler Waibel | Family Medicine | 6363 France Ave S, Suite 525, Edina, MN 55435-2129 | 2010-04-20 |
1497830319 | David E Olson | Family Medicine | 4010 W 65th St, Edina, MN 55435-1706 | 2006-10-26 |
1427158427 | Paresh Subashchandra Ghodge | Family Medicine | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316239361 | David Ian Smith | Family Medicine | 516 15th Ave Se Ste 190e, Minneapolis, MN 55455-0130 | 2011-05-10 |
1306163571 | Maria Christine Ryan | Family Medicine | 15450 Highway 7 Ste 125, Minnetonka, MN 55345-3522 | 2010-04-28 |
1659437267 | Peter Swann | Family Medicine | 1400 Corporate Center Curv Ste 200, Eagan, MN 55121-1372 | 2006-12-28 |
1275557886 | Odom Sports Medicine, P.a. | Family Medicine | 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 | 2006-07-27 |
1790739092 | Ronald Wayne Hanson Jr. | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2006-05-20 |
1669423950 | Suzanne S Hecht | Family Medicine | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454-1404 | 2006-05-12 |
1295231702 | Rachel Kwiatkowski | Family Medicine | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-04-03 |
1255793261 | Arie Degrio | Family Medicine | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2016-03-28 |
1437525292 | Orthocure LLC | Family Medicine | 6636 Cedar Ave S Ste 170, Richfield, MN 55423-2710 | 2015-08-17 |
1871974022 | Mark Cipriani Jr. | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-13 |
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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.