DR. KIMBERLY JOYCE BURKHOLZ (NPI# 1417914169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417914169 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY JOYCE BURKHOLZ |
| Other Name | KIMBERLY JOYCE CONNER |
| Credential | M.D. |
| Practice Address |
11995 Singletree Ln Suite 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951301 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.201698 | LA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME98611 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
042-0011349 | VT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A82906 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35237 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
11995 SINGLETREE LN SUITE 500 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-5347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821075797 | Nasir Iqbal | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2005-12-30 |
| 1912322835 | Rebecca A Jorgenson | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2014-02-28 |
| 1245591692 | Matthew T. Hoffman | Radiology | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5349 | 2012-06-01 |
| 1477839215 | Virtual Radiologic Professionals of New Jersey, P.a. | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2011-10-25 |
| 1477719474 | Neeta Mody Vargo | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2008-07-30 |
| 1700040011 | Christina Sharon Geatrakas | Radiology | 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 | 2008-07-16 |
| 1154591139 | Virtual Radiologic Professionals LLC | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2008-03-06 |
| 1437345337 | Renee W Bonetti | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2007-09-24 |
| 1962523118 | Jeffrey Aaron Jednacz | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2007-04-03 |
| 1932263498 | Jillian Marie Heath | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1184725228 | Virtual Radiologic Professionals of Texas, P.a. | Radiology | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344-5349 | 2006-09-25 |
| 1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
| 1821075797 | Nasir Iqbal | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2005-12-30 |
| 1932183589 | Sean Owen Casey | Radiology | 6292 Chasewood Dr, Eden Prairie, MN 55344-3289 | 2005-12-06 |
| 1962405183 | Daniel R Fox | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2005-05-23 |
| 1457738072 | Lawrence Ngo | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-05-04 |
| 1962898502 | Daniel Eric Wingard | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-04-10 |
| 1851786453 | Megan Wood Hellfeld | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-03-31 |
| 1639564479 | Matthew Smetko | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-03-30 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
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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.