DR. SARA ELIZABETH WILDENBERG (NPI# 1437476876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437476876 |
| Entity Type | Individual |
| Full Name | DR. SARA ELIZABETH WILDENBERG |
| Other Name | DR. SARA ELIZABETH SCHULLO |
| Credential | M.D. |
| Practice Address |
6401 France Ave S Edina MN 55435-2104 |
| Mailing Address |
6405 France Ave S Edina MN 55435-2163 |
| Practice Telephone | 9529277004 |
| Mailing Telephone | 9529277004 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2017-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
55185 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6401 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1760098156 | Tyler William Freiborg | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2020-09-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| Find all providers in the same location | ||||
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235482225 | Roy A.m Myers | Surgery | 3907 Sunset Blvd, Minneapolis, MN 55416-4269 | 2012-10-16 |
| 1447883889 | Lorraine Woidylla | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-02-13 |
| 1124670799 | Sarah Wilder | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-07-12 |
| 1639684509 | Melanie Smalley | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-12-13 |
| 1073042149 | Lauren A Johnson | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-12 |
| 1518330570 | Colleen Mooney | Surgery | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2015-11-12 |
| 1396035028 | Sydne Muratore | Surgery | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-04-14 |
| 1003115783 | Brian S Myer | Surgery | 640 Jackson St # Ms 11502v, Saint Paul, MN 55101-2502 | 2011-03-21 |
| 1760617641 | Uroghupatei Paul Iyegha | Surgery | 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455-0341 | 2009-05-21 |
| 1376565325 | Benjamin B Ranstrom | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-07-25 |
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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.