GROUP HEALTH PLAN, INC (NPI# 1336430149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336430149 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH PLAN, INC |
| Other Organization Name | THREE RIVERS ORTHODONTICS |
| Practice Address |
2150 Third Avenue Suite 200 Anoka MN 55303-2206 |
| Practice Telephone | 7634219292 |
| Practice Fax Number | 7634217559 |
| Mailing Telephone | 7634219292 |
| Mailing Fax Number | 7634217559 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | DR. DAVID S GESKO (SR. VP/DENTAL DIR.) |
| Authorized Official Telephone | 9528837577 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH PLAN, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D12245 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Three Rivers Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1558764597 | Group Health Plan, Inc | Dentist | 4155 County Rd 101 N, Plymouth, MN 55446-2308 | 2014-10-06 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1437276086 | Group Health Plan, Inc | Student in an Organized Health Care Education/Training Program | 401 Phalen Blvd Msc 41103f, Saint Paul, MN 55101-5302 | 2007-03-26 |
| 1538213566 | Group Health Plan, Inc | Dentist | 2251 Connecticut Ave, Healthpartners Central Mn Clinic - Dental, Sartell, MN 56337-4772 | 2007-01-23 |
| 1649331554 | Group Health Plan, Inc | Durable Medical Equipment & Medical Supplies | 601 Jacob Lane, Mail Stop 39300a, Suite 2, Anoka, MN 55303 | 2006-12-13 |
| 1669082947 | Group Health Plan, Inc | Non-Pharmacy Dispensing Site | 8301 47th Ave N, New Hope, MN 55428-4512 | 2020-08-03 |
| 1770106601 | Group Health Plan, Inc | Clinic/Center | 8301 47th Ave N, New Hope, MN 55428-4512 | 2020-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GROUP HEALTH PLAN, INC. | 8170 33rd Ave S, Mail Stop 21114a, Bloomington, MN 55425 |
| Alabama Business Registrations | Group Health Plan, Inc. | 8170 33rd Ave. S., Bloomington, MN 55425 |
| Street Address |
2150 THIRD AVENUE SUITE 200 |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306283759 | Sean O'dell | Dentist | 3507 Round Lake Blvd Nw Ste 900, Anoka, MN 55303-4908 | 2013-05-24 |
| 1588863203 | Stephen S. Clifford | Dentist | 2150 3rd Avenue, Suite 200, Anoka, MN 55303-2200 | 2007-07-12 |
| 1316035595 | Bruce K.a. Dormanen, P.a. | Dentist | 2150 3rd Ave Ste 200, Anoka, MN 55303-2200 | 2006-10-11 |
| 1972616902 | Rensch, Becker and Iwen, D.d.s., P.a. | Dentist | 402 Monroe St, Anoka, MN 55303-2516 | 2006-08-16 |
| 1992716062 | Wayne Arthur Finnegan | Dentist | 3507 Round Lake Blvd Nw, Suite 700, Anoka, MN 55303-5001 | 2006-08-11 |
| 1578187225 | Joshua Padovano | Dentist | 3507 Round Lake Blvd Nw Ste 900, Anoka, MN 55303-4908 | 2020-05-28 |
| 1215159611 | Mark J. Harrington | Dentist | 2150 3rd Ave, Anoka, MN 55303-2206 | 2007-05-03 |
| 1750495891 | Leonard V. Ackermann | Dentist | 402 Monroe St, Anoka, MN 55303-2516 | 2006-08-18 |
| 1073627113 | Dennis R. Carlson | Dentist | 402 Monroe St, Anoka, MN 55303-2516 | 2006-08-18 |
| 1770697823 | Scott E. Rensch | Dentist | 402 Monroe St, Anoka, MN 55303-2516 | 2006-08-18 |
| Find all providers in ANOKA | ||||
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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.