KRISTIN GENDRON (NPI# 1457307316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457307316 |
| Entity Type | Individual |
| Full Name | KRISTIN GENDRON |
| Credential | M.D. |
| Practice Address |
2080 Woodwinds Drive #240 Woodbury MN 55125 |
| Mailing Address |
2080 Woodwinds Dr Ste 120 Woodbury MN 55125-2524 |
| Practice Telephone | 6517020750 |
| Practice Fax Number | 6516456166 |
| Mailing Telephone | 6517020570 |
| Mailing Fax Number | 6516456166 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 49403 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 065435000 | 05 |
| Street Address |
2080 WOODWINDS DRIVE #240 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1831162601 | Geoffrey J Service | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2006-02-10 |
| 1487093399 | Daniel John-martin Carroll | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2013-06-25 |
| 1144451691 | Jamie Katherine Flohr | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2009-07-31 |
| 1326169160 | Garrett R Griffin | Otolaryngology | 2080 Woodwinds Dr, Suite 120, Woodbury, MN 55125 | 2007-04-02 |
| 1821195959 | Otolaryngology Head & Neck Surgery, P.a. | Otolaryngology | 2080 Woodwinds Dr, #240, Woodbury, MN 55125 | 2006-09-20 |
| 1114943222 | Thomas Luke Okner | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-07-14 |
| 1578509832 | Eric Thomas Becken | Otolaryngology | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125 | 2006-06-22 |
| 1295771558 | Victor Stuart Cox | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-06-22 |
| 1104862465 | Robert Weston Smith | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-06-22 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on KRISTIN GENDRON.
| 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.