GROUP HEALTH PLAN, INC (NPI# 1558764597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558764597 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH PLAN, INC |
| Other Organization Name | HEALTHPARTNERS PLYMOUTH DENTAL CLINIC |
| Practice Address |
4155 County Rd 101 N Plymouth MN 55446-2308 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 9529773000 |
| Mailing Telephone | 9528835151 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | DR. DAVID S GESKO (SENIOR VP/DENTAL DIRECTOR) |
| Authorized Official Telephone | 9528837577 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
12245 | MN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12465 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| HealthPartners Plymouth Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548802317 | Group Health Plan, Inc | Clinic/Center | 560 6th Ave N, Minneapolis, MN 55411-4332 | 2019-10-14 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336430149 | Group Health Plan, Inc | Dentist | 2150 Third Avenue, Suite 200, Anoka, MN 55303-2206 | 2011-04-27 |
| 1437276086 | Group Health Plan, Inc | Student in an Organized Health Care Education/Training Program | 401 Phalen Blvd Msc 41103f, Saint Paul, MN 55101-5302 | 2007-03-26 |
| 1538213566 | Group Health Plan, Inc | Dentist | 2251 Connecticut Ave, Healthpartners Central Mn Clinic - Dental, Sartell, MN 56337-4772 | 2007-01-23 |
| 1649331554 | Group Health Plan, Inc | Durable Medical Equipment & Medical Supplies | 601 Jacob Lane, Mail Stop 39300a, Suite 2, Anoka, MN 55303 | 2006-12-13 |
| 1669082947 | Group Health Plan, Inc | Non-Pharmacy Dispensing Site | 8301 47th Ave N, New Hope, MN 55428-4512 | 2020-08-03 |
| 1770106601 | Group Health Plan, Inc | Clinic/Center | 8301 47th Ave N, New Hope, MN 55428-4512 | 2020-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GROUP HEALTH PLAN, INC. | 8170 33rd Ave S, Mail Stop 21114a, Bloomington, MN 55425 |
| Alabama Business Registrations | Group Health Plan, Inc. | 8170 33rd Ave. S., Bloomington, MN 55425 |
| Street Address |
4155 COUNTY RD 101 N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749522 | Berman Family Dentistry Pllc | Dentist | 9430 S Main St Ste 1, Plymouth, MI 48170-4149 | 2020-10-28 |
| 1649886748 | Advanced Family Dentistry-plymouth Pllc | Dentist | 44644 Ann Arbor Rd W Ste F, Plymouth, MI 48170-4089 | 2020-09-23 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1043720675 | Taylor Dental Associates PC | Dentist | 106 Colony Place Rd, Plymouth, MA 02360-7233 | 2017-10-10 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| 1831565969 | Annelise Nelson | Dentist | 15535 34th Ave N Ste 250, Plymouth, MN 55447-2171 | 2015-08-12 |
| 1467870303 | Paul Boettner Dds Pllc | Dentist | 1485 County Road 101 N, Plymouth, MN 55447-3053 | 2014-03-28 |
| 1083037931 | Nicole Haus | Dentist | 3001 Harbor Ln N Ste 100, Plymouth, MN 55447-8740 | 2014-01-29 |
| 1669743738 | W H Dental, Pllc | Dentist | 17610 19th Ave N, Suite 8, Plymouth, MN 55447-2600 | 2012-01-22 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on GROUP HEALTH PLAN, INC.
| 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.