DR. MARI B ITO (NPI# 1467429621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467429621 |
| Entity Type | Individual |
| Full Name | DR. MARI B ITO |
| Other Name | DR. MARI ITO |
| Credential | MD |
| Practice Address |
9055 Springbrook Dr Nw Urgency Care Coon Rapids MN 55433-5841 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7632367144 |
| Practice Fax Number | 7632367733 |
| Mailing Telephone | 6122621166 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 33781 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 539500300 | 05 | |
| MN | MN MEDICAL LICENSE | 33781 | 01 |
| Street Address |
9055 SPRINGBROOK DR NW URGENCY CARE |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833454 | Julie M Jones | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2005-10-04 |
| 1235745126 | Allison Usset Gilles | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1649886565 | Allina Health System | Clinic/Center | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-09-16 |
| 1851924302 | Jenna Michele Borgstrom | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2020-02-12 |
| 1346887585 | Andria Sammon | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-12-06 |
| 1679126080 | Kayla Wenner | Dietitian, Registered | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 | 2019-07-24 |
| 1710541586 | Meri Ellen Parady | Social Worker | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-04-27 |
| 1659835734 | Alisha Leigh Freeburg | Registered Nurse | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2019-01-23 |
| 1588146732 | Erika Janet Hachey | Nurse Practitioner | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-09-04 |
| 1083192702 | Hannah Mork | Audiologist | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| 1417924739 | Mark S Luger | Emergency Medicine | 4050 Coon Rapids Blvd, Coon Rapids, MN 55433 | 2006-03-06 |
| 1144531732 | Jodi Greenlaw | Emergency Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2010-06-29 |
| 1326214313 | Sarah Jean Bronner | Emergency Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2008-04-30 |
| 1255549978 | Sharon Sweeney Carmody | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2007-05-18 |
| 1134157936 | Amanda M Baker | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-06-29 |
| 1811952724 | Laura Contreras | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-04-20 |
| 1003877788 | Noel Pillman | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-31 |
| 1285695908 | Robert C Thomas | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-31 |
| 1295796225 | Brett A. Germany | Emergency Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-03-29 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on DR. MARI B ITO.
| 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.