DR. SAMUEL ASANTE-BUABENG (NPI# 1558520361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558520361 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL ASANTE-BUABENG |
| Credential | M.D. |
| Practice Address |
4670 Park Nicollet Ave Se Prior Lake MN 55372-4119 |
| Practice Telephone | 9529937750 |
| Practice Fax Number | 9529938820 |
| Mailing Telephone | 9529937750 |
| Mailing Fax Number | 9529938820 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2011-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50756 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4670 PARK NICOLLET AVE SE |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265396 | Matthew T Kremer | Internal Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2005-12-07 |
| 1316432974 | Brianna Marie Seawell | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2018-06-26 |
| 1811323512 | Andrea J Berger | Physical Therapist | 4670 Park Nicollet Ave Se, Rehabilitation Services, Prior Lake, MN 55372-4119 | 2013-09-25 |
| 1598049603 | Nicholas John Schneider | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2011-10-07 |
| 1093032484 | Nicole Lynn Ulrich | Family Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2010-04-26 |
| 1699009506 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2009-09-24 |
| 1881841021 | Northland Dental Partners Pllc | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2008-08-19 |
| 1497879951 | Orthodontic Care Group | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2007-03-19 |
| 1689732133 | Pdg,p.a. | Dentist | 4670 Park Nicollet Ave Se, Suite 100, Prior Lake, MN 55372-3908 | 2006-12-05 |
| 1558460113 | Kristen Dee Lindstrom | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| 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 |
|---|---|---|---|---|
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1922375609 | Frank D Burris | Family Medicine | 13810 Shepherds Path E, Apt.301, Prior Lake, MN 55379-2455 | 2011-11-22 |
| 1053379230 | Karen Marie Weiler | Family Medicine | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2006-05-03 |
| 1093032484 | Nicole Lynn Ulrich | Family Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2010-04-26 |
| 1447304886 | Chaska Medical Center | Family Medicine | 14033 Commerce Ave Ne, Prior Lake, MN 55372-1438 | 2007-01-23 |
| 1144278755 | Jessica A Vanderscoff | Family Medicine | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2006-05-05 |
| 1073561619 | Troy A Scott | Family Medicine | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2006-05-05 |
| 1710945209 | Robert D Lehrer | Family Medicine | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
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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.