AVANTI MEDICAL GROUP OF MINNESOTA LLC (NPI# 1568771962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568771962 |
| Entity Type | Organization |
| Organization Name | AVANTI MEDICAL GROUP OF MINNESOTA LLC |
| Practice Address |
1059 Meadowlands Dr Saint Paul MN 55127-2346 |
| Mailing Address |
1755 S Naperville Rd Suite 100 Wheaton IL 60189-5844 |
| Practice Telephone | 3184655874 |
| Mailing Telephone | 3184655874 |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2010-10-02 |
| Authorized Official Name | AMY GRAHAM (VICE PRESIDENT OF MEDICAL AFFAIRS) |
| Authorized Official Telephone | 3184655874 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | Y |
| Parent Organization Name | AVANTI MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326357500 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1755 S Naperville Rd, Suite 100, Wheaton, IL 60189-5844 | 2010-10-05 |
| 1578872974 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 1801 Market Dr, Stillwater, MN 55082-7599 | 2010-10-02 |
| 1821307224 | Avanti Medical Group of Minnesota LLC | Clinic/Center | 8690 E Point Douglas Rd S, Cottage Grove, MN 55016-4007 | 2010-10-02 |
| Street Address |
1059 MEADOWLANDS DR |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55127-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292448 | Craig Thompson | Pharmacist | 1059 Meadowlands Dr, Saint Paul, MN 55127-2346 | 2014-07-02 |
| 1518206895 | Michael Campfield | Pharmacist | 1059 Meadowlands Dr, Saint Paul, MN 55127-2346 | 2013-02-06 |
| 1063624559 | Sheryl Nelson Aurandt | Pharmacist | 1059 Meadowlands Dr, Saint Paul, MN 55127-2323 | 2007-05-04 |
| 1689894222 | Kathryn Trumble | Pharmacist | 1059 Meadowlands Dr, Saint Paul, MN 55127-2323 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| 1740849454 | Bilterms Solutions Inc | Clinic/Center | 2430 University Ave W, Saint Paul, MN 55114-1706 | 2019-06-07 |
| 1215334578 | St Paul Clinic LLC | Clinic/Center | 301 University Ave W, Saint Paul, MN 55103-2048 | 2014-12-02 |
| 1518192798 | Family Eyecare Pa | Clinic/Center | 2309 Como Ave, Saint Paul, MN 55108-1723 | 2009-05-18 |
| 1871779595 | Associated Hearing Instruments of St Paul Inc | Clinic/Center | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2008-01-11 |
| 1932389897 | Dr. Bobby K. Yang M.d. Medical Clinic, LLC | Clinic/Center | 1047 University Ave W, Suite 101, Saint Paul, MN 55104-4751 | 2007-11-08 |
| 1346302981 | St. Paul Family Medical Center | Clinic/Center | 1239 Payne Ave, Saint Paul, MN 55130 | 2006-12-13 |
| 1942384193 | United Family Practice Health Center | Clinic/Center | 1307 Maynard Dr W, Suite 13, Saint Paul, MN 55116-2930 | 2006-10-24 |
| 1235755349 | Abundant Life Health Coaches, LLC | Clinic/Center | 808 Berry St Apt 237, Saint Paul, MN 55114-1474 | 2020-06-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55127 |
Please comment or provide details below to improve the information on AVANTI MEDICAL GROUP OF MINNESOTA LLC.
| 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.