MARAT YANAVITSKI (NPI# 1558599712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558599712 |
| Entity Type | Individual |
| Full Name | MARAT YANAVITSKI |
| Credential | MD |
| Practice Address |
1700 University Ave W Fl 6 Saint Paul MN 55104-3727 |
| Mailing Address |
1690 University Ave W Ste 315b Saint Paul MN 55104-3723 |
| Practice Telephone | 6512322273 |
| Practice Fax Number | 6512324953 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2018-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
62071 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 559 Capitol Blvd, Saint Paul, MN 551032101 | 6512322000 | 6512322118 |
| 1575 Beam Ave, Maplewood, MN 551091126 | 6512327000 | |
| 1925 Woodwinds Dr, Woodbury, MN 551254445 | 6512320100 | |
| 45 10th St W, Saint Paul, MN 551021062 | 6512323000 |
| Street Address |
1700 UNIVERSITY AVE W FL 6 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164498739 | Alain F Broccard | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-02-24 |
| 1912497041 | Pamela Jenness Freske | Psychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2018-05-15 |
| 1376059188 | Meghan Kerry Dunnigan | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-12-17 |
| 1699209643 | Jennifer Leafblad | Social Worker | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-04-17 |
| 1033641758 | Megan Lifto | Clinical Nurse Specialist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-03-31 |
| 1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
| 1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
| 1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
| 1902294358 | Dana Alexandra Peterson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2015-01-07 |
| 1225426174 | Hayley Maxwell | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
| 1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
| 1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
| 1114071602 | Mohammad Nurulqadr Jameel | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2007-01-22 |
| 1316022684 | Christa Nicole Heckman | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104 | 2006-10-26 |
| 1922066901 | Bilal Mahmood Murad | Internal Medicine | 225 Smith Ave N, Suite 400, Saint Paul, MN 55102-2533 | 2006-05-01 |
| 1245293166 | Pamela Ruth Paulsen | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2006-04-11 |
| 1962485797 | Kenneth William Baran | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2005-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
| 1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
| 1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
| 1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
| 1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1477715530 | Leif C Christianson | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-06-30 |
| 1760657589 | R Todd Drexel | Internal Medicine | 4040 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-4568 | 2008-04-23 |
| 1871780478 | Minneapolis Heart Institute At Ridgeview Heart Center, LLC | Internal Medicine | 500 S Maple St, Waconia, MN 55387-1752 | 2007-09-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.