SAMUEL ROBERT GOBLIRSCH (NPI# 1417123688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417123688 |
Entity Type | Individual |
Full Name | SAMUEL ROBERT GOBLIRSCH |
Credential | M.D. |
Practice Address |
701 Dellwood St S Cambridge MN 55008-1920 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 6122625000 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2008-05-07 |
Last Update Date | 2012-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
51489 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RESIDENT PERMIT | 20309 | 01 |
Street Address |
701 DELLWOOD ST S |
City | CAMBRIDGE |
State | MN |
Zip Code | 55008-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093787152 | Randy A Karger | Ophthalmology | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2006-02-03 |
1629615778 | Elizabeth Horn | Physical Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-09 |
1982241170 | Jessica Gunion | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1629615844 | Darren Vincent Rudeen | Physical Therapy Assistant | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-12-06 |
1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
1396386173 | Allina Health System | Psychologist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-10-03 |
1568013118 | Kimberly Jara | Counselor | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-09-25 |
1093360877 | Michelle Kay Schultz | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-08-07 |
1184284366 | Abigail Irene Christensen | Nurse Practitioner | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-06-19 |
1093270621 | Angelique Ann Creger | Occupational Therapist | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2019-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
Find all providers in zip 55008 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164435830 | Frederick V Bauer | Emergency Medicine | 300 Byrn St, Cambridge, MD 21613-1908 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
1669544623 | Thomas Charles Koehnen | Emergency Medicine | 38818 730th Ave, Saint James, MN 56081-4482 | 2006-11-14 |
1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
1831548676 | Sarah Mott | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-10 |
1508129198 | Amy M. O'neil | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-19 |
1285994517 | Micah Richard Treuer | Emergency Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2012-05-21 |
1528324472 | Erin Austad | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2012-04-04 |
1740457902 | Ram Prasad Paneru | Emergency Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2008-05-15 |
1740467760 | Daniel P Dewey | Emergency Medicine | 500 S Maple St, Waconia, MN 55387-1752 | 2008-01-22 |
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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.