MARTIN LEE IMMERMAN (NPI# 1558333781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558333781 |
| Entity Type | Individual |
| Full Name | MARTIN LEE IMMERMAN |
| Credential | MD |
| Practice Address |
6525 France Ave S Paul Larson Ob Gyn Clinic Ste 100 Edina MN 55435-3624 |
| Practice Telephone | 9529274021 |
| Practice Fax Number | 9522856183 |
| Mailing Telephone | 9529274021 |
| Mailing Fax Number | 9522856183 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 33213 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6525 FRANCE AVE S PAUL LARSON OB GYN CLINIC STE 100 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383355 | Fairview Clinics | Obstetrics & Gynecology | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2015-08-20 |
| 1972987113 | Jessica Torres | Advanced Practice Midwife | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2015-07-17 |
| 1730592759 | Melissa Erber Kitzman | Nurse Practitioner | 6525 France Ave S, Suite 100, Edina, MN 55435-2148 | 2014-06-06 |
| 1730428582 | Evexia Rx, LLC | Pharmacy | 6525 France Ave S, Suite #100b, Edina, MN 55435-2148 | 2013-02-13 |
| 1972762631 | Reese Surgical Group Pllc | Surgery | 6525 France Ave S, Suite 305, Edina, MN 55435-2148 | 2008-06-06 |
| 1083888234 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1023282266 | Urology Associates, Ltd. | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2008-04-18 |
| 1578772554 | Matthew Robert Braasch | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2007-05-22 |
| 1154450708 | Paul T Fadden | Urology | 6525 France Ave S, Suite 200, Edina, MN 55435-2148 | 2007-03-02 |
| 1295879567 | Robert Daniel Silver | Otolaryngology | 6525 France Ave S, Ste 325, Edina, MN 55435-4538 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
| 1851529739 | Kellie Christine Lease-stecher | Obstetrics & Gynecology | 6525 France Ave S Ste 100, Edina, MN 55435-2158 | 2009-06-30 |
| 1033365853 | Allina Health System | Obstetrics & Gynecology | 6525 France Ave S Ste 205, Edina, MN 55435-2176 | 2008-08-12 |
| 1245490952 | Jewelia Wagner | Obstetrics & Gynecology | 6545 France Ave S Ste 490, Edina, MN 55435 | 2008-06-16 |
| 1043486301 | Rachel Amanda Harris | Obstetrics & Gynecology | 3625 W 65th St Ste 100, Edina, MN 55435-2147 | 2008-05-06 |
| 1154531192 | Jessica L Grajczyk | Obstetrics & Gynecology | 6405 France Ave. South, Suite W400, Edina, MN 55435-2192 | 2007-05-22 |
| 1215143383 | Erin A. Collins | Obstetrics & Gynecology | 6525 France Ave. S Suite #100, Paul Larson O.b. Gyn., Edina, MN 55435 | 2007-05-15 |
| 1801946223 | Premier Obgyn of Minnesota Pa | Obstetrics & Gynecology | 3625 W. 65th Street, Suite 100, Edina, MN 55435 | 2007-01-10 |
| 1265545784 | Stephanie K Dahl | Obstetrics & Gynecology | 6565 France Ave S Ste 400, Edina, MN 55435-2137 | 2006-08-17 |
| 1851345177 | Melissa A O'halloran | Obstetrics & Gynecology | 3625 W 65th St, Suite 100, Edina, MN 55435-2106 | 2006-05-20 |
| Find all providers in EDINA | ||||
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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.