JEROME E SCHULZ (NPI# 1457560708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457560708 |
| Entity Type | Individual |
| Full Name | JEROME E SCHULZ |
| Credential | MD |
| Practice Address |
11505 36th Ave N Plymouth MN 55441-2304 |
| Practice Telephone | 7635093819 |
| Practice Fax Number | 7635093877 |
| Mailing Telephone | 7635093819 |
| Mailing Fax Number | 7635093877 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
17779 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
11505 36TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924216 | Tim Richard Portinga | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2007-01-08 |
| 1619500600 | Dave R Bjorklund | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2020-02-18 |
| 1588295208 | Venessa Ferrier | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2020-01-31 |
| 1710488655 | Sarah Schwalbach | Marriage & Family Therapist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2018-02-26 |
| 1376902999 | Recovery Partners, PC At Plymouth | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2016-02-11 |
| 1194195248 | Heidi Bausch | Student in an Organized Health Care Education/Training Program | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2015-10-01 |
| 1720457526 | Nicole Steil | Student in an Organized Health Care Education/Training Program | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2015-09-22 |
| 1700283025 | Julia Edelman | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2014-12-02 |
| 1881010114 | Nora Durkin | Counselor | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2014-03-11 |
| 1548696602 | David Matthew Wells | Psychologist | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083633580 | Michael J.f. Iannessa | Internal Medicine | 1233 State Rd, Plymouth, MA 02360-5133 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394815 | John Richard Stroemer | Internal Medicine | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2006-07-26 |
| 1871915470 | Valley Pain Relief and Wellness Center, Pllc | Internal Medicine | 2428 E 117th St, Burnsville, MN 55337-1269 | 2014-01-16 |
| 1144400011 | River of Life Services LLC | Internal Medicine | 6200 Excelsior Blvd, #202, St Louis Park, MN 55416-2730 | 2007-11-08 |
| 1043373426 | Pamela Jo Shultz | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-12-18 |
| 1013952175 | Charles P Reznikoff | Internal Medicine | 807 Park Ave, Minneapolis, MN 55404-1136 | 2006-06-20 |
| 1639116924 | Milton L Bullock | Internal Medicine | 914 S 8th St, S131, Minneapolis, MN 55404-1210 | 2006-06-02 |
| 1508803610 | Gavin B Bart | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-05-31 |
Please comment or provide details below to improve the information on JEROME E SCHULZ.
| 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.