DR. ANDREW F FEDOR III


Address: 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723
Phone: 6128634495

DR. ANDREW F FEDOR III (NPI# 1568984078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568984078
Entity Type Individual
Full Name DR. ANDREW F FEDOR III
Credential PHD LP
Practice Address 800 E 28th St Ste 1750
Minneapolis
MN 55407-3723
Mailing Address 2925 Chicago Ave
Minneapolis
MN 55407-1321
Practice Telephone 6128634495
Enumeration Date 2017-07-17
Last Update Date 2017-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
LP6140 MN Behavioral Health & Social Service Providers

Office Location

Street Address 800 E 28TH ST STE 1750
City MINNEAPOLIS
State MN
Zip Code 55407-3723

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588628184 Jackson W Q Maddux Physical Medicine & Rehabilitation 800 E 28th St Ste 1750, Minneapolis, MN 55407 2006-04-12
1013425420 Erika Nielsen Physical Therapist 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2018-01-19
1982134342 Elizabeth M Senne Social Worker 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2017-06-18
1336515030 Chris Nelson Social Worker 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2015-08-17
1134503469 Noah Jared Chappell Nurse Practitioner 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2015-07-16
1942699293 Amanda Kay Miller Physical Medicine & Rehabilitation 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2015-01-09
1528478625 Arun Idiculla Physical Medicine & Rehabilitation 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2014-04-29
1235559147 Anne Catherine Tita Student in an Organized Health Care Education/Training Program 800 E 28th St Ste 1750, Minneapolis, MN 55407 2014-04-17
1295968790 Liat Goldman Physical Medicine & Rehabilitation 800 E 28th St Ste 1750, Abbott Northwestern Hospital, Minneapolis, MN 55407-3723 2009-08-31
1396989257 Rachel Stone Treuting Physical Medicine & Rehabilitation 800 E 28th St Ste 1750, Minneapolis, MN 55407-3723 2009-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720644057 Amana Home Care Home Health 2833 13th Ave S Suite 118, Minneapolis, MN 55407 2019-05-13
1356802979 Aaron Randy Pickrel Student in an Organized Health Care Education/Training Program 2800 Chicago Avenue, #250, Minneapolis, MN 55407 2019-03-27
1053881631 Naimo Abdisalam Registered Nurse 1229 East Lake Street, Minneapolis, MN 55407 2018-11-27
1437639614 Kelly Usitalo Nurse Practitioner 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 2018-08-17
1952880346 Allison Hall Internal Medicine Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 2018-08-07
1780176370 Rebekah Sand Physical Therapist 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 2018-05-31
1417448663 Vivian T.c. Liu Student in an Organized Health Care Education/Training Program 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 2018-05-23
1053802397 Isuroon Counselor 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 2018-05-22
1154811404 Mohamed Mukhtar Ali Dentist 4700 Cedar Ave S, Minneapolis, MN 55407 2018-05-12
1396254280 Erin Elizabeth Casper Registered Nurse 3621 Oakland Ave, Minneapolis, MN 55407 2017-09-25
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861008567 Natalia V Potapova Psychologist 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 2020-09-17
1962014167 Kate Esterline Psychologist 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 2020-08-19
1831740216 Seth Gordon Disner Psychologist 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 2019-09-26
1366090763 Healing Therapy LLC Psychologist 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 2019-08-28
1891340469 Karin Fisher Psychologist 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 2019-08-09
1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1902306038 Ksa Psychological Services, LLC Psychologist 5603 Chicago Ave., Minneapolis, MN 55417 2018-02-15
1689030231 Oliver Ross Psychology and Consulting LLC Psychologist 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 2016-01-13
1295100881 Oliver Ross Psychologist 3802a Grand Avenue South, Minneapolis, MN 55409 2015-12-08
1841664190 Lakes Wellness Center LLC Psychologist 3248 Stevens Ave, Minneapolis, MN 55408-3214 2015-11-24
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Competitor

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City MINNEAPOLIS
Zip Code 55407

Improve Information

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Dataset Information

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.

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