DR. PHUDHIPHORN THIENPRASIT (NPI# 1437151669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437151669 |
| Entity Type | Individual |
| Full Name | DR. PHUDHIPHORN THIENPRASIT |
| Credential | M.D., PH.D |
| Practice Address |
1675 Beam Ave Ste 215 Maplewood MN 55109-1172 |
| Practice Telephone | 6517481461 |
| Practice Fax Number | 6517771191 |
| Mailing Telephone | 6517481461 |
| Mailing Fax Number | 6517771191 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 21230 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1675 BEAM AVE STE 215 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134557432 | St. Paul Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Suite 100, Maplewood, MN 55109-1172 | 2013-10-23 |
| 1255522769 | Jamie K Kirchoff | Audiologist | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172 | 2007-08-08 |
| 1760547269 | Amanda Jo Meixelsperger | Audiologist | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1172 | 2006-12-26 |
| 1568565612 | Peter Hermann Mielke | Dentist | 1675 Beam Ave, #202, Maplewood, MN 55109 | 2006-09-06 |
| 1437251287 | St Paul Eye Clinic Pa | Eyewear Supplier (Equipment, not the service) | 1675 Beam Ave, Ste 100, Maplewood, MN 55109 | 2006-09-02 |
| 1851314868 | Millennium Neurosurgery, Pa | Specialist | 1675 Beam Ave, Suite 215, Maplewood, MN 55109-1172 | 2006-07-25 |
| 1730125162 | Anne Katherine Zowin | Audiologist | 1675 Beam Ave, 200, Maplewood, MN 55109 | 2006-06-22 |
| 1376589630 | Kelly Ann Veit | Audiologist | 1675 Beam Ave, #200, Maplewood, MN 55109 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 1770999716 | Gigante Acquisitions LLC | Neurological Surgery | 2215 Pillsbury Ave S, Minneapolis, MN 55404-3213 | 2014-07-10 |
| 1962723403 | Richard C. Siebert | Neurological Surgery | 1901 Red Oak Dr Sw, Brainerd, MN 56401-2050 | 2010-06-18 |
| 1912136284 | Ann M Parr | Neurological Surgery | 516 Delaware St Se, Clinic 1a, Umphysicians Neurosurgery Clinic, Minneapolis, MN 55455 | 2009-07-08 |
| 1932303526 | Hamid Reza Abbasi | Neurological Surgery | 6600 State Highway 29 S, Alexandria, MN 56308-6196 | 2007-06-14 |
| 1629289939 | Andrew Grande | Neurological Surgery | 420 Delaware St. Se, Mmc 96, D429 Mayo Memorial Building, Minneapolis, MN 55455 | 2007-05-25 |
| 1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
| 1013084615 | Lynn M Miller | Neurological Surgery | 6 Red Forest Ln, North Oaks, MN 55127-6352 | 2006-11-29 |
| 1871695098 | Cornelius Hoktsim Lam | Neurological Surgery | 420 Delaware St Se # Mmc96, Minneapolis, MN 55455-0341 | 2006-09-01 |
| 1124044334 | Zhiyi Sha | Neurological Surgery | 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 | 2006-07-14 |
| 1619914207 | Allina Health System | Neurological Surgery | 310 Smith Ave N Ste 400, St Paul, MN 55102-2378 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
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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.