PURISIMO D LUCAS (NPI# 1568531226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568531226 |
| Entity Type | Individual |
| Full Name | PURISIMO D LUCAS |
| Credential | M.D. |
| Practice Address |
3301 7th Ave Anoka MN 55303-4516 |
| Practice Telephone | 7637124499 |
| Mailing Telephone | 7637124499 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24887 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3301 7TH AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368001 | Matthew Splett | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2005-06-30 |
| 1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1750819223 | Shelly Lynn Lettmann | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2017-05-30 |
| 1801320817 | Andrew Zwack | Pharmacist | 3301 7th Ave, Pharmacy, Anoka, MN 55303-4516 | 2017-04-17 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
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| 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 |
|---|---|---|---|---|
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1851527030 | Jon Stuart Fredlund | Family Medicine | 742 River Ln, Anoka, MN 55303-2808 | 2009-06-02 |
| 1770732455 | Donald John Soll | Family Medicine | 1187 Benton St, Anoka, MN 55303-1958 | 2008-09-17 |
| 1750355541 | Michael F Otto | Family Medicine | 1833 2nd Ave S-mail Stop 39300a, Riverway Clinic - Anoka, Anoka, MN 55303-2432 | 2006-02-16 |
| 1902870769 | James D Rusin | Family Medicine | 1833 2nd Ave S - Mail Stop 39300a, Riverway Clinic - Anoka, Anoka, MN 55303-2432 | 2006-02-16 |
| 1053398255 | Christina A Boryczka | Family Medicine | 3301 7th Ave N., Anoka, MN 55303 | 2005-12-28 |
| 1891182614 | Alma Dzafic | Family Medicine | 601 Jacob Ln, Anoka, MN 55303 | 2015-04-20 |
| 1104211994 | Krystin Melissa Holody | Family Medicine | 601 Jacob Ln, Anoka, MN 55303-1776 | 2015-03-30 |
| 1285927301 | Neel Patel | Family Medicine | 601 Jacob Ln, Mail Stop 39300a, Anoka, MN 55303-1776 | 2011-05-23 |
| 1740363639 | Janice Dena Tandler | Family Medicine | 3301 7th Ave, Anoka, MN 55303-4516 | 2006-10-23 |
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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.