RUDY G THELL


Address: 1390 University Ave W, Saint Paul, MN 55104-4001
Phone: 6512324800

RUDY G THELL (NPI# 1508821463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508821463
Entity Type Individual
Full Name RUDY G THELL
Credential MD
Practice Address 1390 University Ave W
Saint Paul
MN 55104-4001
Practice Telephone 6512324800
Practice Fax Number 6512324899
Mailing Telephone 6512324800
Mailing Fax Number 6512324899
Enumeration Date 2006-04-20
Last Update Date 2012-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 22039 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 862893900 05

Office Location

Street Address 1390 UNIVERSITY AVE W
City SAINT PAUL
State MN
Zip Code 55104-4001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457810855 Maureen Stormont Cannon Audiologist 1390 University Ave W, Saint Paul, MN 55104-4001 2019-03-15
1053802835 Alethea Schaffer Physical Therapist 1390 University Ave W, Saint Paul, MN 55104 2018-05-28
1780199026 Fairview Pharmacy Services, LLC Non-Pharmacy Dispensing Site 1390 University Ave W, Saint Paul, MN 55104-4001 2017-12-08
1942743331 Emily Wahl Speech-Language Pathologist 1390 University Ave W, Saint Paul, MN 55104-4001 2016-12-02
1386028181 Kristan Lam Audiologist 1390 University Ave W, Saint Paul, MN 55104-4001 2015-07-13
1114363868 Andrea N Larson Pharmacist 1390 University Ave W, Saint Paul, MN 55104-4001 2013-05-21
1053755975 Elizabeth Childs Cummings Physical Therapist 1390 University Ave W, Saint Paul, MN 55104-4001 2013-04-22
1740534981 Bridgid Jane Marzen Physical Therapy Assistant 1390 University Ave W, Saint Paul, MN 55104-4001 2012-11-08
1407100761 Corinna Harris Physical Therapist 1390 University Ave W, Saint Paul, MN 55104-4001 2012-11-07
1972857225 Barbara Brehmer Physical Therapist 1390 University Ave W, Saint Paul, MN 55104-4001 2012-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174939706 Bjorn Bakken Internal Medicine 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 2014-07-03
1679997936 Keith Eugene Folkert Internal Medicine 2122 Highland Pkwy, Saint Paul, MN 55116-1313 2014-02-06
1255607321 Louis A Sagert Internal Medicine 497 Curfew St, Saint Paul, MN 55104-4912 2012-03-22
1912137944 Dominic Rossini Internal Medicine 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 2009-07-24
1639367865 Kerwin T Chan Internal Medicine 45 10th St W Ste A, Saint Paul, MN 55102-1062 2007-10-12
1861696056 Emily Ruth Conover Downing Internal Medicine 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 2007-06-12
1750304580 Bobby Khue Yang Internal Medicine 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 2006-07-25
1093746000 Salima Mithani Internal Medicine 2005 Ford Pkwy, Saint Paul, MN 55116-1932 2006-07-06
1609803766 Peter Cermak Internal Medicine Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 2006-06-26
1619903093 Shannon Canas Internal Medicine 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 2006-06-25
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

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.

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