DR. EDWIN NDEMO BOGONKO (NPI# 1447444666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447444666 |
| Entity Type | Individual |
| Full Name | DR. EDWIN NDEMO BOGONKO |
| Credential | MD |
| Practice Address |
1515 Saint Francis Ave Suite # 100 Shakopee MN 55379-3387 |
| Practice Telephone | 9524033535 |
| Practice Fax Number | 9524033599 |
| Mailing Telephone | 9524033535 |
| Mailing Fax Number | 9524033599 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2009-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 50217 | MN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 50217 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1515 SAINT FRANCIS AVE SUITE # 100 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432716 | Michael Jon Walker | Surgery | 1515 Saint Francis Ave, #100, Shakopee, MN 55379-3387 | 2006-01-20 |
| 1295101178 | Autumn Lani Brown Lovas | Advanced Practice Midwife | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2015-08-14 |
| 1952618464 | Dental Specialists of Minnesota, Pllc | Dentist | 1515 Saint Francis Ave, Suite 145, Shakopee, MN 55379-3387 | 2010-09-03 |
| 1073837134 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2010-03-18 |
| 1154500718 | Heidi Jo Whipple Ohlmann | Physical Therapist | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-10-31 |
| 1346433083 | Sarah Marie Vonbank | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1700079365 | Valley Rehabilitation Services | Clinic/Center | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2007-08-27 |
| 1215146550 | Jodi Lynn Winters | Physician Assistant | 1515 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3387 | 2007-05-22 |
| 1952517930 | Roselee Waller Wondra | Physical Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-05-15 |
| 1902951403 | Debbie M Kalish | Occupational Therapist | 1515 Saint Francis Ave, Suite 140, Shakopee, MN 55379-3387 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073811675 | Brandon Nhat Nguyen | Hospitalist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2011-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1710270665 | Ryan James Greiner | Hospitalist | 1812 Clinton Ave Apt 102, Minneapolis, MN 55404-2466 | 2011-05-25 |
| 1831326446 | Shirlee Xiaoping Xie | Hospitalist | 701 Park Ave South - Dept of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415 | 2009-06-22 |
| 1821239161 | Andrew George Keenan | Hospitalist | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2009-03-17 |
| 1346413291 | Tammy Jo Olson | Hospitalist | Essentia Health St. Mary's Detroit Lakes Hospital, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2008-04-10 |
| 1497947345 | Saroj Shrestha | Hospitalist | 5 Crown Hill Ln, Mankato, MN 56001-4986 | 2007-08-14 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1225662695 | Rebecca D Peterson | Hospitalist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2020-02-25 |
| 1427543735 | Becky Randall | Hospitalist | 1406 6th Ave N, St. Cloud, MN 56303-1901 | 2018-06-28 |
| 1396269288 | Erin Lynn Weier | Hospitalist | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2017-08-01 |
| 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.