DR. JANE CAROL PEDERSON (NPI# 1508147224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508147224 |
| Entity Type | Individual |
| Full Name | DR. JANE CAROL PEDERSON |
| Credential | M.D. |
| Practice Address |
9478 Wedgewood Dr Woodbury MN 55125-9304 |
| Practice Telephone | 6517309471 |
| Mailing Telephone | 6517309471 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
32722 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
9478 WEDGEWOOD DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-9304 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740354166 | Hospice Care Network | Internal Medicine | 99 Sunnyside Blvd, Woodbury, NY 11797-2901 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268189 | Mission Creek Transitional Care Pllc | Internal Medicine | 520 Marshall St, Duluth, MN 55803-1981 | 2019-07-26 |
| 1275191736 | Howide Eldib | Internal Medicine | 4728 Lyndale Ave S Apt 1, Minneapolis, MN 55419-5304 | 2019-05-30 |
| 1689007940 | David Pautz | Internal Medicine | 6313 Westwood Ct, Edina, MN 55436-1149 | 2013-08-09 |
| 1033465505 | Manji Belinda Osifeso | Internal Medicine | 790 West 66th Street, Hcmc Richfield Clinic, Richfield, MN 55423 | 2012-08-01 |
| 1336445899 | Diane Helen Scott | Internal Medicine | 2545 Hamline Ave N, Apt 211, Roseville, MN 55113 | 2011-02-01 |
| 1497981286 | House Call Specialists, Pllc | Internal Medicine | 115 Oregon Ave S, Golden Valley, MN 55426-1561 | 2009-06-07 |
| 1952582744 | Maged Labib | Internal Medicine | 1920 Mineral Springs Pkwy, Owatonna, MN 55060-2186 | 2007-11-20 |
| 1912118522 | Bernadette Kim Quadling | Internal Medicine | 1415 Lilac Dr N, Ste 190, Golden Valley, MN 55422-4544 | 2007-05-25 |
| 1912046988 | Margaret Rice, Md, Pa | Internal Medicine | 4901 Garfield Ave, Minneapolis, MN 55419-5403 | 2007-02-06 |
| 1649329038 | Dennis S Hsieh | Internal Medicine | 9800 Health Care Ln, Mail Route Pa950-1000, Minnetonka, MN 55343 | 2007-01-09 |
| 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.