DR. GORDON ALAN BEARDWOOD (NPI# 1316938038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316938038 |
| Entity Type | Individual |
| Full Name | DR. GORDON ALAN BEARDWOOD |
| Credential | M.D. |
| Practice Address |
7235 Ohms Ln Edina MN 55439-2148 |
| Mailing Address |
7225 Ohms Ln Ste 150 Edina MN 55439-2172 |
| Practice Telephone | 9528412345 |
| Practice Fax Number | 9528412346 |
| Mailing Telephone | 9528412345 |
| Mailing Fax Number | 9524058593 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
60395 | MN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
49423 | WI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
N3489 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1316938038 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1836 South Ave, La Crosse, WI 546015429 | 6087827300 |
| Street Address |
7235 OHMS LN |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537329 | Katherine Christine Le-banh | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2019-09-16 |
| 1669983342 | Brian Kasel | Physician Assistant | 7235 Ohms Ln, Edina, MN 55439-2148 | 2017-10-20 |
| 1194244053 | Tiffany Lynn Mcintyre | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2017-09-12 |
| 1528450608 | Vivian Ngongang Ogunyemi | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2015-02-25 |
| 1225466840 | Sally Kangas | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439 | 2013-10-16 |
| 1124466222 | Travis G O'brien | Physical Medicine & Rehabilitation | 7235 Ohms Ln, Edina, MN 55439 | 2013-06-11 |
| 1235408691 | Stephanie Kelly Drew | Registered Nurse | 7235 Ohms Ln, Edina, MN 55439 | 2011-12-14 |
| 1447557285 | Peggy Marie Maude-griffin | Psychologist | 7235 Ohms Ln, Edina, MN 55439-2148 | 2011-02-14 |
| 1982918967 | Cara Herrmann | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2010-08-02 |
| 1053516443 | Anne Kokayeff | Psychiatry & Neurology | 7235 Ohms Ln, Edina, MN 55439-2148 | 2007-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316989007 | Louis Carl Saeger | Anesthesiology | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2006-06-10 |
| 1891055851 | Advanced Spine and Pain Clinics of Minnesota LLC | Anesthesiology | 7373 France Ave S, Suite 606, Edina, MN 55435-4534 | 2012-05-24 |
| 1942411509 | Matthew Gerald Thorson | Anesthesiology | 7373 France Ave S, Suite 606, Edina, MN 55435-4534 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315185 | Central Minnesota Anesthesia | Anesthesiology | 22415 State Highway 15, Saint Augusta, MN 56301-9207 | 2016-02-09 |
| 1386873404 | Ifechi Anyadioha | Anesthesiology | 1400 E. Madison Ave, Suite 402, Mankato, MN 56001-5473 | 2009-07-10 |
| 1396775110 | Integrated Care Clinics, Pa | Anesthesiology | 1260 Highway 25 S, Monticello, MN 55362-8921 | 2006-07-04 |
| 1548210628 | Angela Haliburda | Anesthesiology | 1260 32nd Ave N, Saint Cloud, MN 56303-1649 | 2006-05-11 |
| 1215918685 | Florin M Orza | Anesthesiology | 420 Delaware St S.e. University of Minnesota, Department of Anesthesiology B 525 Mayo Building Mmc294, Minneapolis, MN 55455 | 2005-11-10 |
| 1801450291 | Nura Pa | Anesthesiology | 2104 Northdale Blvd Nw Ste 220, Minneapolis, MN 55433-3046 | 2019-05-01 |
| 1144745951 | Metropolitan Surgical Center, LLC | Anesthesiology | 9645 Grove Cir N Ste 250, Maple Grove, MN 55369-2683 | 2017-08-14 |
| 1275997363 | Morgan Taylor Smith | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-05 |
| 1124431358 | Saeger Pain Care Pllc | Anesthesiology | 1950 Curve Crest Blvd W, Ste 100, Stillwater, MN 55082-5078 | 2014-06-05 |
| 1952731895 | Midwest Med Management, Inc | Anesthesiology | 1935 County Road B2 W, Ste 165, Roseville, MN 55113-2729 | 2013-11-13 |
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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.