DR. GEOFFREY DEE CORNELSEN (NPI# 1447415161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447415161 |
| Entity Type | Individual |
| Full Name | DR. GEOFFREY DEE CORNELSEN |
| Credential | D.O. |
| Practice Address |
5160 Lincoln Dr Edina MN 55436-1010 |
| Practice Telephone | 5157793828 |
| Mailing Telephone | 5157793828 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2014-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | OT012680 | PA | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
56152 | MN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
006377 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OS015070 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5160 LINCOLN DR |
| City | EDINA |
| State | MN |
| Zip Code | 55436-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1245486612 | Erich Gauger | Orthopaedic Surgery | Sports and Orthopaedic Specialists, 8100 W 78th St Suite 230, Edina, MN 55439 | 2008-08-17 |
| 1568532190 | Orthopedic Specialists, P.a. | Orthopaedic Surgery | 6600 France Ave S Ste 605, Edina, MN 55435-1807 | 2006-11-09 |
| 1689646853 | Vinton Douglas Pierce Jr. | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2006-02-02 |
| 1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
| 1366856445 | William Engasser | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2014-06-17 |
| 1194135863 | Ryan Joseph Hoel | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2014-05-04 |
| 1801239249 | Joseph Denis Schirmers | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2013-04-16 |
| 1780942631 | John David Breen | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439 | 2012-04-29 |
| 1841583259 | Jozef Murar | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2011-05-17 |
| 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.