SENTINEL LASER CENTER, P.A. (NPI# 1407130453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407130453 |
| Entity Type | Organization |
| Organization Name | SENTINEL LASER CENTER, P.A. |
| Practice Address |
514 Saint Peter St Saint Paul MN 55102-1001 |
| Practice Telephone | 6512878781 |
| Practice Fax Number | 6512878782 |
| Mailing Telephone | 6512878781 |
| Mailing Fax Number | 6512878782 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | STACY LEE DAVISON (ACCOUNTS MANAGER) |
| Authorized Official Telephone | 6512878781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 21358 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
514 SAINT PETER ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437198769 | Laurie Deann Kaiser Sund | Family Medicine | 514 Saint Peter St, Gallery Towers, Sutie 200, Saint Paul, MN 55102-1001 | 2006-06-05 |
| 1396152211 | St. Peter Street Clinic | Internal Medicine | 514 Saint Peter St, 250, Saint Paul, MN 55102-1001 | 2014-07-14 |
| 1801213681 | P. Lynn Richman, M.d., P.a. | Clinic/Center | 514 Saint Peter St, Gallery Towers Suite 200, Saint Paul, MN 55102-1001 | 2014-03-18 |
| 1750641304 | Priya Wati Melander | Counselor | 514 Saint Peter St, Suite 290, Saint Paul, MN 55102-1001 | 2012-05-16 |
| 1154689131 | Evergreen Health Services Plc | Specialist | 514 Saint Peter St, Suite 220, Saint Paul, MN 55102-1001 | 2012-04-27 |
| 1962705111 | Sentinel Medical Associates, P.a. | Neurological Surgery | 514 Saint Peter St, Suite 220, Saint Paul, MN 55102-1001 | 2010-12-09 |
| 1235369489 | Perinatology Consultations, LLC | Obstetrics & Gynecology | 514 Saint Peter St, Suite 230, Saint Paul, MN 55102-1001 | 2009-07-22 |
| 1275767865 | Kevin L. Stevenson, M.d., P.a. | Neurological Surgery | 514 Saint Peter St, Suite 230, Saint Paul, MN 55102-1001 | 2009-05-11 |
| 1588813604 | Mary Bowman-cline | Massage Therapist | 514 Saint Peter St, Suite 280, Saint Paul, MN 55102-1001 | 2008-09-12 |
| 1518140797 | Therapy Partners, Inc. | Physical Therapist | 514 Saint Peter St, Suite 250, Saint Paul, MN 55102-1001 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
| 1447747563 | Rishav Aggarwal | Neurological Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-04-13 |
| 1740786177 | Marjorie Odegard | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-04-04 |
| 1164957189 | Emma Kate Jones | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-04-27 |
| 1477085413 | Marcus Geffre | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-03-29 |
| 1710331566 | Julia Nugent | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-04-18 |
| 1669850418 | David Freeman | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2015-05-13 |
| 1942688205 | Matthew Glen Robertson | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101 | 2015-05-07 |
| 1053798728 | Kendall Mceachron | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2015-05-01 |
| 1316367733 | Ariella Maia Altman | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2014-04-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.