RYAN ROBERT FADER (NPI# 1508156571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508156571 |
| Entity Type | Individual |
| Full Name | RYAN ROBERT FADER |
| Credential | M.D. |
| Practice Address |
8100 W 78th St Ste 225 Edina MN 55439-2569 |
| Practice Telephone | 9529469777 |
| Mailing Telephone | (952) 946-9777 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
282757 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E. 17th Place, University of Colorado Denver School of Medicine Gme, Aurora, CO 80045 | 3037246031 | |
| 2805 Campus Dr Ste 465, Plymouth, MN 554412680 | 7635777425 |
| Street Address |
8100 W 78TH ST STE 225 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412606 | Kyle A Vansickle | Specialist/Technologist | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2008-06-30 |
| 1457758146 | Sarah Baker | Specialist/Technologist | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2014-11-25 |
| 1073954038 | Michael Joseph | Specialist/Technologist | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2013-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099656 | Allina Health System | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2009-08-24 |
| 1609097849 | William T. Simonet, Md,pa | Orthopaedic Surgery | 6600 France Ave S, Suite 605, Edina, MN 55435-1805 | 2007-05-02 |
| 1881815322 | Mark C Engasser M D P A | Orthopaedic Surgery | 6600 France Ave S, Suite 615, Edina, MN 55435-1807 | 2007-05-01 |
| 1124137302 | Joseph Thomas Teynor | Orthopaedic Surgery | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2006-08-30 |
| 1770690687 | David Ryan Anderson | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-08-24 |
| 1104839521 | Kayvon Scott Riggi | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-08-15 |
| 1710920277 | Mark Bevers Sigmond | Orthopaedic Surgery | 6600 France Ave S, Suite 605, Edina, MN 55435-1805 | 2006-06-13 |
| 1851330088 | William T Simonet | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-06-05 |
| 1417911884 | Mark Charles Engasser | Orthopaedic Surgery | 6600 France Ave S, Suite 615, Edina, MN 55435-1807 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388447 | Erik Therrien | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw Rochester Mn 55905, Rochester, MN 55905-0001 | 2020-08-30 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1902381148 | Richard Kyle Maciver Martin | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-10-02 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1861802019 | Adam Morgan Johannsen | Orthopaedic Surgery | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2014-04-28 |
| 1396056842 | Zachary Peter Arntson | Orthopaedic Surgery | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2010-06-30 |
| 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.