EAGAN VALLEY PEDIATRICS, P.A. (NPI# 1528050119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528050119 |
| Entity Type | Organization |
| Organization Name | EAGAN VALLEY PEDIATRICS, P.A. |
| Practice Address |
14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522 |
| Practice Telephone | 9524324373 |
| Practice Fax Number | 9529975679 |
| Mailing Telephone | 9524324373 |
| Mailing Fax Number | 9529975679 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES E DUFORT (PRESIDENT) |
| Authorized Official Telephone | 9524324373 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
14135 CEDAR AVE SUITE 100 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639626773 | George Dental Apple Valley Pa | Dentist | 14135 Cedar Ave, Suite 500, Apple Valley, MN 55124-4522 | 2016-09-07 |
| 1508171497 | Cedar South Chiropractic, P.a. | Chiropractor | 14135 Cedar Ave, Suite 400, Apple Valley, MN 55124-4522 | 2010-08-16 |
| 1770810624 | Md Clinic, Inc | General Practice | 14135 Cedar Ave, Apple Valley, MN 55124-4522 | 2009-11-13 |
| 1225203185 | Taffe Chiropractic, P.a. | Chiropractor | 14135 Cedar Ave, Suite 400, Apple Valley, MN 55124-4522 | 2008-04-22 |
| 1821260753 | Troy Streff Taffe | Chiropractor | 14135 Cedar Ave, Suite 400, Apple Valley, MN 55124-4522 | 2008-04-01 |
| 1508936329 | Anna Havelka | Nurse Practitioner | 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124-4522 | 2006-11-09 |
| 1427043512 | Fernando J Partida Ruessga | General Practice | 14135 Cedar Ave, Ste 300, Apple Valley, MN 55124-4522 | 2005-09-14 |
| 1417942509 | Md Physicals Inc | General Practice | 14135 Cedar Ave, Ste 300, Apple Valley, MN 55124-4522 | 2005-09-14 |
| 1376535732 | James E Dufort | Pediatrics | 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124-4522 | 2005-08-22 |
| 1891787297 | Jayne M Larson | Nurse Practitioner | 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124-4522 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167577 | Js Enterprises Inc | Clinic/Center | 14370 Guthrie Ave, Apple Valley, MN 55124-6729 | 2020-06-03 |
| 1598165862 | Heffernan Enterprises Pllc | Clinic/Center | 14050 Pilot Knob Rd, Apple Valley, MN 55124-6647 | 2014-08-24 |
| 1699034694 | Wewin for Health Medical Group | Clinic/Center | 17868 Us Highway 18, Pmb 359, Apple Valley, CA 92307-1267 | 2012-05-10 |
| 1770864431 | Lifespan Chiropractic Pa | Clinic/Center | 7493 147th St W, Suite 203, Apple Valley, MN 55124-4505 | 2011-09-07 |
| 1184913444 | Integrated Health & Wellness Centers, Inc. | Clinic/Center | 16000 Apple Valley Rd Ste C3, Apple Valley, CA 92307-7815 | 2011-04-06 |
| 1295054211 | Fairview Health Services | Clinic/Center | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2010-06-01 |
| 1972829729 | Ganesh Medical Corporation | Clinic/Center | 15982 Tuscola Rd, Apple Valley, CA 92307 | 2010-04-19 |
| 1700016037 | Mika Therapy LLC | Clinic/Center | 13335 Palomino Dr, Suite 202, Apple Valley, MN 55124-4248 | 2009-07-21 |
| 1487823985 | Victor Valley Primary Care, Inc. | Clinic/Center | 16125 Kamana Rd, Apple Valley, CA 92307-1377 | 2008-02-28 |
| 1952590796 | Vincent E. Ajanwachuku, M.d., Inc. | Clinic/Center | 16133 Kamana Rd, Apple Valley, CA 92307-1377 | 2007-10-17 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on EAGAN VALLEY PEDIATRICS, P.A..
| 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.