SUE-MI C TUTTLE


Address: 401 Phalen Blvd-ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302
Phone: 6512548290

SUE-MI C TUTTLE (NPI# 1447442702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447442702
Entity Type Individual
Full Name SUE-MI C TUTTLE
Other Name SUE-MI CHA
Credential M.D.
Practice Address 401 Phalen Blvd-ms 41104h
Healthpartners Specialty Center 401
St. Paul
MN 55130-5302
Mailing Address 8170 3rd Ave S
Ms21110q
Minneapolis
MN 55425-4516
Practice Telephone 6512548290
Practice Fax Number 6512548299
Mailing Telephone 9528835375
Mailing Fax Number 6512548299
Enumeration Date 2007-08-10
Last Update Date 2020-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 51814 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 401 PHALEN BLVD-MS 41104H
HEALTHPARTNERS SPECIALTY CENTER 401
City ST. PAUL
State MN
Zip Code 55130-5302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164904587 Confident Care LLC In Home Supportive Care 1040 Arkwright Street, Saint Paul, MN 55130 2018-09-01
1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
1275743981 Yia Vang Technician 1100 Arkwright St., St. Paul, MN 55130 2007-05-23
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720574445 Echelon Surgical Specialists LLC Plastic Surgery 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 2018-07-05
1104252022 Bashioum Cosmetic Surgery Center, Ltd. Plastic Surgery 445 Lake St E Ste 210, Wayzata, MN 55391-1671 2013-09-24
1184994501 James Jerome Diehl Plastic Surgery 10530 W Riverview Dr, Eden Prairie, MN 55347-4921 2012-01-02
1851690697 Jason Dean Fowler Plastic Surgery 1420 London Rd Ste 101, Duluth, MN 55805-2437 2011-03-18
1093049348 Harry Alvin Johnson Jr. Plastic Surgery 4708 Townes Road, Edina, MN 55424 2009-09-18
1013151430 Jennifer Ann Cameron Plastic Surgery 310 Smith Ave N Ste 330, Saint Paul, MN 55102 2009-04-29
1538336938 Oscar Javier Manrique Mogollon Plastic Surgery 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 2008-05-14
1558533919 David O. Smith Plastic Surgery 6545 France Ave S Ste 505, Edina, MN 55435-2116 2008-03-26
1033314943 Tracy So Kayan Plastic Surgery 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 2007-06-19
1710022363 Peter Andrew Vogt Plastic Surgery 319 Barry Ave S, #300, Wayzata, MN 55391-1658 2007-02-21
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Competitor

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City ST. PAUL
Zip Code 55130

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Dataset Information

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.

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