CENTRAL PEDIATRICS, P.A. (NPI# 1396721387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396721387 |
| Entity Type | Organization |
| Organization Name | CENTRAL PEDIATRICS, P.A. |
| Practice Address |
9680 Tamarack Rd Ste 100 Woodbury MN 55125-2623 |
| Practice Telephone | 6517380470 |
| Practice Fax Number | 6517315031 |
| Mailing Telephone | 6517380470 |
| Mailing Fax Number | 6517315031 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MS. KIM ALTENDORF (ADMINISTRATOR) |
| Authorized Official Telephone | 6517315026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
========= | MN | Ambulatory Health Care Facilities |
| Street Address |
9680 TAMARACK RD STE 100 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093791089 | Priority Pediatrics,p.a. | Clinic/Center | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2623 | 2005-12-21 |
| 1053791392 | Hannah Carlson-donohoe Esdal | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 | 2015-06-02 |
| 1912394487 | Diana Thyssen | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 | 2015-04-22 |
| 1770903015 | Nicole Joann Wilson | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617 | 2014-04-25 |
| 1962822601 | Amanda L Gillett | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617 | 2014-04-21 |
| 1841617032 | Rachel Weigert | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 | 2014-03-25 |
| 1679910483 | Lindsay Lee Bragg | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617 | 2013-06-03 |
| 1881039840 | Chelsy Kate Meier | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617 | 2013-05-05 |
| 1578676474 | Matthew Philip Jones | Pediatrics | 9680 Tamarack Rd Ste 100, Woodbury, MN 55125-2617 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477915163 | Richard D. Abrash Md PC | Clinic/Center | 800 Woodbury Rd, Suite I, Woodbury, NY 11797-2503 | 2016-03-22 |
| 1710351820 | East Fork Medical Clinic, LLC | Clinic/Center | 370 Doolittle Rd, #4, Woodbury, TN 37190-1129 | 2015-11-30 |
| 1497036198 | Balsam Medical, Pllc | Clinic/Center | 530 W Adams St, Woodbury, TN 37190-1622 | 2011-09-08 |
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| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
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| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
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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.