COLLEEN MOONEY (NPI# 1518330570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518330570 |
| Entity Type | Individual |
| Full Name | COLLEEN MOONEY |
| Credential | PA |
| Practice Address |
347 Smith Ave N Ste 203 Saint Paul MN 55102-2388 |
| Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 6512417733 |
| Mailing Telephone | 7635813700 |
| Mailing Fax Number | 7635813701 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
12002 | MN | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 363A00000X | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 Oakdale Ave N, Robbinsdale, MN 554222926 | 7635813700 | 7635813701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447394358 | Colleen Mooney | Specialist/Technologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| Street Address |
347 SMITH AVE N STE 203 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669783619 | Annetta Madeline Madsen | Obstetrics & Gynecology | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2010-06-24 |
| 1174040919 | Amanda Kay Rynda | Nurse Practitioner | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003115783 | Brian S Myer | Surgery | 640 Jackson St # Ms 11502v, Saint Paul, MN 55101-2502 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235482225 | Roy A.m Myers | Surgery | 3907 Sunset Blvd, Minneapolis, MN 55416-4269 | 2012-10-16 |
| 1447883889 | Lorraine Woidylla | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-02-13 |
| 1124670799 | Sarah Wilder | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-07-12 |
| 1639684509 | Melanie Smalley | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-12-13 |
| 1073042149 | Lauren A Johnson | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-12 |
| 1396035028 | Sydne Muratore | Surgery | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-04-14 |
| 1437476876 | Sara Elizabeth Wildenberg | Surgery | 6401 France Ave S, Edina, MN 55435-2104 | 2010-04-26 |
| 1760617641 | Uroghupatei Paul Iyegha | Surgery | 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455-0341 | 2009-05-21 |
| 1376565325 | Benjamin B Ranstrom | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2006-07-25 |
| 1528041134 | Frederick A Foss Jr. | Surgery | 1015 Marsh St, Mankato, MN 56001-5294 | 2005-11-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.