GREGORY D BEALL (NPI# 1548220395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548220395 |
| Entity Type | Individual |
| Full Name | GREGORY D BEALL |
| Credential | MD |
| Practice Address |
3960 Coon Rapids Blvd Nw Suite 100 Coon Rapids MN 55433-2569 |
| Mailing Address |
Po Box 43 Mr 10809 Minneapolis MN 55440-0043 |
| Practice Telephone | 7632369400 |
| Practice Fax Number | 7632369423 |
| Mailing Telephone | 6122624813 |
| Mailing Fax Number | 6122624194 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2018-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22118 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3960 COON RAPIDS BLVD NW SUITE 100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275833 | Byron A Teska | Ophthalmology | 3960 Coon Rapids Blvd Nw, Suite 304, Coon Rapids, MN 55433-2569 | 2005-09-14 |
| 1689068462 | Group Health Plan, Inc. | Clinic/Center | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433 | 2015-03-19 |
| 1770829939 | Handi Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3960 Coon Rapids Blvd Nw, Ste #102, Coon Rapids, MN 55433-2521 | 2012-12-17 |
| 1245510700 | Lesley Rae Kurowski | Nurse Practitioner | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433-2569 | 2011-08-27 |
| 1629387303 | Minnesota Oncology Hematology Pa | Clinic/Center | 3960 Coon Rapids Blvd Nw, # 311, Coon Rapids, MN 55433-2569 | 2010-09-29 |
| 1558696526 | Kimberly F Laxmana | Nurse Practitioner | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2009-10-08 |
| 1326276627 | Katherine Wolf Gurchak | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2009-06-24 |
| 1679715601 | Patricia Ann Harper | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2009-04-06 |
| 1447409834 | Minnesota Oncology Hematology, Pa | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2008-09-10 |
| 1528256062 | Carmen J Schroeder | Nurse Practitioner | 3960 Coon Rapids Blvd Nw, Suite 311, Coon Rapids, MN 55433-2569 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164510889 | Yan Gennad'yevich Bakman | Internal Medicine | 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886 | 2006-10-10 |
| 1245343011 | Jerrol Jay Noller | Internal Medicine | 3863 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2006-08-16 |
| 1992716294 | Eric Andrew Salata | Internal Medicine | 3960 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2521 | 2006-08-11 |
| 1841258928 | Paul E Youngquist | Internal Medicine | 3960 Coon Rapidsblvd, Coon Rapids, MN 55433 | 2006-05-01 |
| 1548220007 | Bula Roy | Internal Medicine | 9055 Springbrook Drive Nw, Coon Rapids, MN 55433-5841 | 2006-03-27 |
| 1750361283 | April B Grudell | Internal Medicine | 9145 Springbrook Dr Nw, Coon Rapids, MN 55433-5885 | 2006-01-19 |
| 1306833454 | Julie M Jones | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2005-10-04 |
| 1134126238 | Adam Lee Gunder | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2005-07-05 |
| 1891227856 | Kevin Mcguire | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2017-03-29 |
| 1396276473 | Kelsey Nosek | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2017-03-21 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.