KEFENG GU (NPI# 1538249412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538249412 |
| Entity Type | Individual |
| Full Name | KEFENG GU |
| Credential | M.D. |
| Practice Address |
530 3rd St Nw - Mail Stop 39400a Riverway Clinic - Elk River Elk River MN 55330-8863 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 7635874800 |
| Practice Fax Number | 7635874885 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 7635874885 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46196 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
530 3RD ST NW - MAIL STOP 39400A RIVERWAY CLINIC - ELK RIVER |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-8863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629271671 | Soumathy C Prosper | Obstetrics & Gynecology | 530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River, Elk River, MN 55330-8863 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209741 | Scott C. Waters | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2006-03-16 |
| 1326400086 | Lulu Guo | Family Medicine | 19425 Evans St Nw, Elk River, MN 55330-1074 | 2016-03-22 |
| 1215374152 | Amy Lynn Keller | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-06-02 |
| 1770842007 | Yordanka R Alvarez | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2012-05-07 |
| 1578880068 | Ryan Thomas Herbert | Family Medicine | 800 Freeport Ave Nw Ste 100, Elk River, MN 55330-2723 | 2010-04-23 |
| 1053571109 | Kate M. Sann | Family Medicine | 530 3rd St Nw, Riverway Clinic-elk River-mail Stop 39400a, Elk River, MN 55330-8863 | 2008-06-12 |
| 1598956559 | Jennifer Marie Brown | Family Medicine | 530 3rd St Nw, Elk River, MN 55330 | 2007-08-06 |
| 1124249743 | David Scott Anderson | Family Medicine | 290 Main St Nw, Suite 100, Elk River, MN 55330-1270 | 2007-05-01 |
| 1386731966 | Thomas J Guyn | Family Medicine | 800 Freeport Ave Nw, Ste 100a, Elk River, MN 55330-2723 | 2006-10-06 |
| 1881638344 | Amy Janet Edman | Family Medicine | 290 Main St Nw, Elk River, MN 55330-1270 | 2006-06-15 |
| Find all providers in ELK RIVER | ||||
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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.