ADVANCED THERAPY SURFACES, INC. (NPI# 1366435505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366435505 |
| Entity Type | Organization |
| Organization Name | ADVANCED THERAPY SURFACES, INC. |
| Practice Address |
2495 Maplewood Dr Suite 314 Maplewood MN 55109-1913 |
| Practice Telephone | 6517621717 |
| Practice Fax Number | 6517628549 |
| Mailing Telephone | 6517621717 |
| Mailing Fax Number | 6517628549 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MS. CAROL LYNN ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6517621717 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS DME PROVIDER NUMBER | 58G85AD | 01 |
| MN | 627682200 | 05 |
| Street Address |
2495 MAPLEWOOD DR SUITE 314 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530542 | Mackaulie Krantz | Rehabilitation Counselor | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2020-05-19 |
| 1750857363 | Adaline Boden | Occupational Therapist | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2018-10-22 |
| 1912429606 | Helayne Berke | Psychologist | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2017-07-13 |
| 1518492669 | Monica Kluender | Occupational Therapist | 2495 Maplewood Dr, Suite 313, Maplewood, MN 55109-1984 | 2017-04-26 |
| 1811340607 | Amberly Wegener | Speech-Language Pathologist | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2016-07-18 |
| 1083064810 | Margaret Blessing | Occupational Therapist | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2016-06-13 |
| 1831554179 | Charisse Margaret Courteau | Occupational Therapist | 2495 Maplewood Dr, Maplewood, MN 55109-1984 | 2015-12-30 |
| 1861896748 | Emily Christine Kerber | Speech-Language Pathologist | 2495 Maplewood Dr, Ste 313, Maplewood, MN 55109-1984 | 2014-10-21 |
| 1336540343 | Raeann Jaeb | Occupational Therapist | 2495 Maplewood Dr, Suite 313, Maplewood, MN 55109-1984 | 2014-09-09 |
| 1508109513 | Laura Beth Wilson | Occupational Therapist | 2495 Maplewood Dr, Suite 313, Maplewood, MN 55109-1984 | 2013-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1215323589 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1868 Beam Ave, Maplewood, MN 55109-1162 | 2015-04-13 |
| 1861888299 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 453 Valley St, Maplewood, NJ 07040-1330 | 2015-04-13 |
| 1306194220 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7470 Manchester Rd, Maplewood, MO 63143-3032 | 2012-08-27 |
| 1598900631 | Osha Data/cih, Inc. | Durable Medical Equipment & Medical Supplies | 12 Hoffman St, Maplewood, NJ 07040-1114 | 2008-12-03 |
| 1336305713 | Edi | Durable Medical Equipment & Medical Supplies | 36 Newark Way, Suite 202, Maplewood, NJ 07040-3310 | 2008-08-05 |
| 1356519268 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1715-d Beam Avenue, Maplewood, MN 55109 | 2008-02-13 |
| 1457533143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2920 White Bear Ave N, Maplewood, MN 55109 | 2007-12-04 |
| 1023123163 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 2390 White Bear Ave N, Maplewood, MN 55109 | 2006-08-20 |
| 1730109588 | Nextra Health, Inc. | Durable Medical Equipment & Medical Supplies | 10 Sunnen Dr, Ste 100, Maplewood, MO 63143-3838 | 2006-07-21 |
| 1043237373 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2100 Maplewood Commons Dr, Maplewood, MO 63143-1015 | 2006-07-16 |
| Find all providers in MAPLEWOOD | ||||
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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.