SCOTT GLICKSTEIN (NPI# 1508842279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508842279 |
| Entity Type | Individual |
| Full Name | SCOTT GLICKSTEIN |
| Credential | MD |
| Practice Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Mailing Address |
3800 Park Nicollet Blvd Credentialing St Louis Park MN 55416-2527 |
| Practice Telephone | 9529932808 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
31084 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3800 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497745 | Mary C Fields | Psychiatry & Neurology | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-06-16 |
| 1316552383 | Emily Elizabeth Morimoto | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-09-15 |
| 1245862846 | Caara Hirsch Leintz | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-02-11 |
| 1477102770 | Kyja Foster | Counselor | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-09-09 |
| 1750938411 | Abigale Jayne Harris | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-19 |
| 1912552076 | Michael Patrick Miller | Dietitian, Registered | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-08-06 |
| 1083277743 | Jessica B Arndt | Social Worker | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2019-04-18 |
| 1043785157 | Jerry L Juhl | Physical Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-05 |
| 1437624558 | Chandler Elise Domian Ommen | Occupational Therapist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-10-04 |
| 1861977472 | Sarah Ruth Tupper | Nurse Practitioner | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1699118794 | Kimberly Ann Rehberg | Internal Medicine | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2013-04-09 |
| 1780902106 | Erin Marie Scanlon | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2010-05-10 |
| 1881671881 | Tawatchai Paisansinsup | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-30 |
| 1992782882 | Robert Tierney | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-30 |
| 1932186749 | Eric S Schned | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-22 |
| 1811974637 | John T Schousboe | Internal Medicine | 3800 Park Nicollet Blvd, Park Nicollet Clinic Rheumatology, St Louis Park, MN 55416 | 2005-12-22 |
| 1164406831 | Peter D Kent | Internal Medicine | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079055 | Emily Pfeifer | Internal Medicine | 7250 France Ave S Ste 215, Edina, MN 55435-4312 | 2012-06-25 |
| 1871865840 | Kenneth Floyd Tempero | Internal Medicine | 1901 Lake Rd, Wayzata, MN 55391-9715 | 2012-02-06 |
| 1639329279 | Audrey May Nelson | Internal Medicine | 2105 Valkyrie Dr Nw, Rochester, MN 55901-8117 | 2008-09-19 |
| 1962695023 | Paul H Sufka | Internal Medicine | 401 Phalen Blvd-ms 41103a, Healthpartners Specialty Center 401, St Paul, MN 55130-5302 | 2007-08-22 |
| 1457426652 | F Douglas Whiting | Internal Medicine | 3585 North Lexington Ave Suite 135, Arden Hills, MN 55126 | 2006-11-22 |
| 1235147331 | Jerry A Molitor | Internal Medicine | 516 Delaware Street Se, Clinic 6a, Ump Medicine Specialties Clinic, Minneapolis, MN 55455 | 2006-08-04 |
| 1497763700 | Shambeel H Rizvi | Internal Medicine | 536 Cedar St, Monticello, MN 55362-8403 | 2006-08-03 |
| 1619913621 | Ali Sajjad | Internal Medicine | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-5841 | 2006-06-20 |
| 1053353094 | David J Rhude | Internal Medicine | 3505 Saint Paul Ave, O5, Minneapolis, MN 55416-4344 | 2006-06-12 |
| 1760455208 | Ellen R Shammash | Internal Medicine | 401 Phalen Blvd - Ms 41103a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.