DR. GARY DAVID HANOVICH (NPI# 1568420545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568420545 |
| Entity Type | Individual |
| Full Name | DR. GARY DAVID HANOVICH |
| Credential | MD |
| Practice Address |
3300 Oakdale Ave N Suite 200 Minneapolis MN 55422-2926 |
| Practice Telephone | 7635202000 |
| Practice Fax Number | 7635202099 |
| Mailing Telephone | 7635202000 |
| Mailing Fax Number | 7635202099 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
21987 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3300 OAKDALE AVE N SUITE 200 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55422-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096729 | Russell Eide | Physician Assistant | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2019-07-24 |
| 1083276117 | Kimberly Ann Franklin | Nurse Practitioner | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2019-06-28 |
| 1487167334 | Kristin Kennedy | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2017-11-14 |
| 1326410317 | Kathleen Bisek | Physician Assistant | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2015-10-29 |
| 1093906935 | Shay A. Schroetter | Nurse Practitioner | 3300 Oakdale Ave N, Suite 200, Minneapolis, MN 55422-2926 | 2007-08-06 |
| 1083811038 | Nicholas John Davis | Surgery | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2007-07-02 |
| 1225233679 | Ketan Patel | Dentist | 3300 Oakdale Ave N, North Memorial Medical Center, Minneapolis, MN 55422 | 2007-06-17 |
| 1437252012 | Retu Saxena | Internal Medicine | 3300 Oakdale Ave N, Suite 200, Minneapolis, MN 55422-2926 | 2006-09-07 |
| 1013028281 | Tina Marie Allenburg | Nurse Practitioner | 3300 Oakdale Ave N, Suite 200, Minneapolis, MN 55422-2926 | 2006-08-31 |
| 1750314795 | Steven Sukwoo Roh | Internal Medicine | 3300 Oakdale Ave N, Suite 200, Minneapolis, MN 55422-2926 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1316364797 | Sumit I Patel | Internal Medicine | 420 Delaware Street Se, Mmc 508, Minneapolis, MN 55455 | 2014-03-24 |
| 1861692519 | Rebecca Jane Cogswell | Internal Medicine | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2007-07-20 |
| 1629107511 | Stephen N Oesterle | Internal Medicine | Medtronic Inc., Ms Lc 400, 710 Medtronic Pkwy., Ne, Minneapolis, MN 55432 | 2007-03-05 |
| 1023158136 | Paul A Sobotka | Internal Medicine | 701 Park Ave # 05, Minneapolis, MN 55415-1623 | 2007-02-07 |
| 1588729297 | Charles Richard Jorgensen | Internal Medicine | 1615 E River Pkwy, Minneapolis, MN 55414-3627 | 2006-12-22 |
| 1730265760 | Emil D Missov | Internal Medicine | 516 Delaware Street Se, Clinic 3b, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-31 |
| 1164505624 | Kozhuvattasseri Padmanabha Madhusoodanan | Internal Medicine | 516 Delaware Street Se Clinic 3b, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-20 |
| 1467542613 | Y S Chandrashekhar | Internal Medicine | Division of Cardiology 111c, 1, Veterans Drive, Minneapolis, MN 55417 | 2006-10-16 |
| 1669573598 | Venkatakrishna Narasimhamurthy Tholakanahalli | Internal Medicine | 111c, One Veterans Dr., Minneapolis, MN 55417-2309 | 2006-09-25 |
| 1871514513 | Inderjit Singh Anand | Internal Medicine | 1 Veterans Dr # 111c, Minneapolis, MN 55417-2309 | 2006-07-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55422 |
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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.