GRETA HAZER (NPI# 1427689637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427689637 |
| Entity Type | Individual |
| Full Name | GRETA HAZER |
| Credential | LAC |
| Practice Address |
4201 Excelsior Blvd St Louis Park MN 55416-4728 |
| Mailing Address |
1835 Ford Pkwy Apt 204 Saint Paul MN 55116-1936 |
| Practice Telephone | 9529338900 |
| Practice Fax Number | 9529459536 |
| Mailing Telephone | 6127022265 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 1938 | MN | Other Service Providers |
| Street Address |
4201 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944349 | Scott M Ross | Dermatology | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2005-10-05 |
| 1538766324 | Sarah A Frid | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2020-10-05 |
| 1902300783 | Elena Fosness | Marriage & Family Therapist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2018-03-19 |
| 1588177109 | Boris Davydov | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416 | 2017-11-06 |
| 1255842373 | Taryn Lynne Stittleburg-devine | Chiropractor | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2017-10-16 |
| 1003298308 | Rachel Anderson | Nurse Practitioner | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2015-06-23 |
| 1174752422 | Linda Shaw Haller | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2009-07-08 |
| 1124124045 | Jill Marie Adams | Psychologist | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912427782 | Kwao Gareth Ahelegbe | Acupuncturist | 6311 Wayzata Blvd Ste 240, St Louis Park, MN 55416-2683 | 2017-06-22 |
| 1740525724 | Melody Ann Pekarek | Acupuncturist | 8606 W 34th St, St Louis Park, MN 55426-3870 | 2012-12-03 |
| 1659664944 | Xinsong N/a Li | Acupuncturist | 1660 Highway 100 S Ste 338, St Louis Park, MN 55416-1573 | 2011-05-19 |
| 1023318243 | Eleonora Novik | Acupuncturist | 4331 Excelsior Blvd, St Louis Park, MN 55416-4811 | 2010-10-22 |
| 1700051992 | Matthew John Bierschbach | Acupuncturist | 4820 Minnetonka Blvd Ste 305, St Louis Park, MN 55416-5708 | 2008-04-28 |
| 1073635231 | Tcm Health Center Inc. | Acupuncturist | 3710 Grand Way, St Louis Park, MN 55416-5198 | 2007-04-06 |
| 1699804047 | Vicky Lynn Radel | Acupuncturist | 6311 Wayzata Blvd, Suite 210, St Louis Park, MN 55416-1209 | 2007-03-03 |
| 1578528303 | Evelyn O. Jaffee | Acupuncturist | 5821 Cedar Lake Rd S, St Louis Park, MN 55416-1487 | 2006-04-17 |
| 1265916811 | Kierstin Leigh Olson | Acupuncturist | 3546 Dakota Ave S, St Louis Park, MN 55416-2313 | 2018-09-19 |
| 1144710906 | Donna Denise Sandberg | Acupuncturist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2018-05-16 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.