EDINA MN OPHTHALMOLOGY ASC LLC (NPI# 1437123270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437123270 |
| Entity Type | Organization |
| Organization Name | EDINA MN OPHTHALMOLOGY ASC LLC |
| Other Organization Name | MCCANNEL EYE SURGERY |
| Practice Address |
3124 W 70th St Edina MN 55435-4227 |
| Practice Telephone | 9528488338 |
| Practice Fax Number | 9528488302 |
| Mailing Telephone | 9528488338 |
| Mailing Fax Number | 9528488302 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
327395 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 567492100 | 05 |
| Other Name | Type Code |
|---|---|
| McCannel Eye Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831357433 | Edina Mn Ophthalmology Asc LLC | Anesthesiology | 3124 W 70th St, Edina, MN 55435-4227 | 2008-05-30 |
| Street Address |
3124 W 70TH ST |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831357433 | Edina Mn Ophthalmology Asc LLC | Anesthesiology | 3124 W 70th St, Edina, MN 55435-4227 | 2008-05-30 |
| 1164488193 | Carol Jean Pexa | Nurse Anesthetist, Certified Registered | 3124 W 70th St, Edina, MN 55435-4227 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1154718070 | Fertility Lab Sciences of Minneapolis, LLC | Clinic/Center | 6565 France Avenue South, Edina, MN 55435 | 2015-04-17 |
| 1629175617 | Zel Skin & Laser Specialists, LLC | Clinic/Center | 4100 W 50th St, Edina, MN 55424-1200 | 2006-09-20 |
| 1760419618 | Minneapolis Endoscopy Center Asc LLC | Clinic/Center | 7600 Parklawn Avenue, Edina, MN 55435 | 2006-06-27 |
| 1740252634 | Minneapolis Endoscopy Asc LLC | Clinic/Center | 7600 Parklawn South, Suite 108, Edina, MN 55435 | 2006-02-03 |
| 1932724283 | Twin Cities Surgery Center, Pa | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2020-06-12 |
| 1790145480 | Twin Cities Surgery Center | Clinic/Center | 7211 Ohms Ln, Edina, MN 55439-2148 | 2016-02-24 |
| 1164852455 | Nura Surgical Center LLC | Clinic/Center | 7400 France Ave S, Suite 102, Edina, MN 55435 | 2013-11-22 |
| 1720398167 | Crosstown Surgery Center LLC | Clinic/Center | 4010 West 65th Street, Edina, MN 55435-1706 | 2010-10-19 |
| Find all providers in EDINA | ||||
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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.