DR. GLENN ROBIN BUTTERMANN (NPI# 1598712788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598712788 |
Entity Type | Individual |
Full Name | DR. GLENN ROBIN BUTTERMANN |
Credential | M.D. |
Practice Address |
1835 County Road C W Ste 150 Roseville MN 55113-1343 |
Mailing Address |
1950 Northwestern Ave S Ste 102 Stillwater MN 55082-7615 |
Practice Telephone | 6514303800 |
Practice Fax Number | 6514301447 |
Mailing Telephone | 6514303800 |
Mailing Fax Number | 6514303827 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2019-04-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
32111 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | PREFERRED ONE | 1008807 | 01 |
RAIL ROAD MEDICARE | 200036945 | 01 | |
WI | 32139000 | 05 | |
ARAZ | 26683 | 01 | |
HEALTHPARTNERS | HP17751 | 01 | |
MN | 267312600 | 05 | |
MN | BLUE CROSS BLUE SHEILD | 8K171BU | 01 |
MN | MEDICA | 00901903 | 01 |
MN | UCARE | 115119 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
7373 France Ave S Ste 408, Edina, MN 554354549 | 6514303800 | 6514303827 |
Street Address |
1835 COUNTY ROAD C W STE 150 |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-1343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992241095 | Brian Bradway | Physician Assistant | 1835 County Road C W Ste 150, Roseville, MN 55113 | 2017-01-12 |
1962690065 | Phillip Charles Stewart | Physician Assistant | 1835 County Road C W Ste 150, Roseville, MN 55113-1343 | 2007-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
1831607704 | Select Health of Ca Iv, LLC | Orthopaedic Surgery | 1380 Lead Hill Blvd Ste 106a, Roseville, CA 95661-2997 | 2018-01-13 |
1740798610 | Optimal Health of Ca Iv, LLC | Orthopaedic Surgery | 1380 Lead Hill Blvd Ste 106b, Roseville, CA 95661-2997 | 2018-01-13 |
1710243423 | Luke Anthony Hiatt | Orthopaedic Surgery | 5 Medical Plaza Dr Ste 120, Roseville, CA 95661-2866 | 2012-04-06 |
1881690493 | Daniel W Hanson | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2005-06-28 |
1356856538 | Tyler G. Smith, Md. A Professional Corporation | Orthopaedic Surgery | 5 Medical Plaza Dr Ste 120, Roseville, CA 95661-2866 | 2017-12-09 |
1487173563 | Better Spine Health 360 | Orthopaedic Surgery | 2780 Snelling Ave N Ste 310, Roseville, MN 55113-7125 | 2017-09-11 |
1811254329 | Travis Loidolt | Orthopaedic Surgery | 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | 2012-04-20 |
1215015987 | Thomas L. Voegeli | Orthopaedic Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
1790863447 | Hans U. Bueff | Orthopaedic Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
Find all providers in ROSEVILLE |
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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.