CRYSTAL NEW HOPE MEDICAL CLINIC (NPI# 1588004279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588004279 |
| Entity Type | Organization |
| Organization Name | CRYSTAL NEW HOPE MEDICAL CLINIC |
| Practice Address |
3501 Douglas Dr N Crystal MN 55422-2480 |
| Mailing Address |
2904 Johnson St Ne Minneapolis MN 55418-2234 |
| Practice Telephone | 7635359601 |
| Practice Fax Number | 7635355601 |
| Mailing Telephone | 6127820900 |
| Mailing Fax Number | 6127884930 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | MS. MARGIE L EVENS (CEO) |
| Authorized Official Telephone | 3203569141 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRYSTAL NEW HOPE MEDICAL CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740442581 | Crystal New Hope Medical Clinic | Durable Medical Equipment & Medical Supplies | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2008-07-01 |
| Street Address |
3501 DOUGLAS DR N |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55422-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054287 | Liborio L Lira | General Practice | 3501 Douglas Dr N, Crystal, MN 55422-2480 | 2005-06-24 |
| 1891001863 | Metro Foot and Ankle Clinic Pllc | Podiatrist | 3501 Douglas Dr N, Crystal, MN 55422-2480 | 2010-08-27 |
| 1740442581 | Crystal New Hope Medical Clinic | Durable Medical Equipment & Medical Supplies | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2008-07-01 |
| 1366628554 | Crystal New Hope Medical Clinic Inc | Family Medicine | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2008-01-17 |
| 1942351168 | Robert A Olson | Obstetrics & Gynecology | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2007-01-15 |
| 1043308158 | Gene Wayne Velasco | Family Medicine | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2006-10-11 |
| 1841253366 | New Hope Crystal Medical Clinic | Family Medicine | 3501 Douglas Dr N, Crystal, MN 55422-2415 | 2006-04-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1649632324 | Yazdaan Juma | Family Medicine | 5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184 | 2016-03-22 |
| 1669577417 | Scott Anthony Reichel | Family Medicine | 5502 W Broadway, Northwest Family Physicians, Crystal, MN 55428 | 2006-09-14 |
| 1336123611 | Paul Andy Ruth | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2005-12-01 |
| 1093706509 | Dawn M Blomgren I | Family Medicine | 5502 W Broadway Ave, Suite 200, Crystal, MN 55428-3508 | 2005-11-03 |
| 1093184533 | Ofer Barniv | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2015-09-15 |
| 1760733752 | Elizabeth Janet Albright | Family Medicine | 5700 Bottineau Blvd, Suite #100, Crystal, MN 55429-3183 | 2012-10-01 |
| 1528327160 | Shelby Rae Spandl | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2012-05-15 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1194950303 | Ruby Waiyee Tam | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2009-05-18 |
| 1124292578 | Gretchen Soberay | Family Medicine | 5502 W Broadway Ave, Northwest Family Physicians, Crystal, MN 55428-3508 | 2008-04-16 |
| Find all providers in CRYSTAL | ||||
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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.