DR. JOHN LUTHER BOONE (NPI# 1609035781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609035781 |
Entity Type | Individual |
Full Name | DR. JOHN LUTHER BOONE |
Credential | M.D. |
Practice Address |
6525 France Ave S Ste 325 Edina MN 55435-2187 |
Practice Telephone | 9529204595 |
Mailing Telephone | 9529204595 |
Enumeration Date | 2008-06-04 |
Last Update Date | 2014-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
56270 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1609035781 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578950044 | John Bradford Boone | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, D3100 Medical Center North, Nashville, TN 37232-0011 | 2015-04-22 |
1295042372 | John Zachary Boone | Counselor | 2625 Zanker Rd Ste 200, San Jose, CA 95134-2130 | 2010-09-09 |
1649481730 | John A Boone | Family Medicine | 1314 Peters Creek Rd Nw, Roanoke, VA 24017-2500 | 2007-05-24 |
1578655791 | John M Boone Jr. | Family Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2499 | 2006-09-28 |
1821062571 | John Leigh Boone | Otolaryngology | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2006-02-16 |
Street Address |
6525 FRANCE AVE S STE 325 |
City | EDINA |
State | MN |
Zip Code | 55435-2187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
Find all providers in zip 55435 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730450297 | Prischmann Facial Plastic Surgery, Pllc | Otolaryngology | 5201 Eden Ave, Suite 170, Edina, MN 55436-2316 | 2012-01-15 |
1407947518 | Gary Edwin Schnitker | Otolaryngology | 7300 France Ave S, Suite #100, Edina, MN 55435-4525 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477782738 | William Douglas Richards | Otolaryngology | 111 17th Ave E Ste 1, Alexandria, MN 56308-0057 | 2009-07-08 |
1396181483 | Fareeda Taher Nazer Hussain | Otolaryngology | 1025 Marsh St, Mankato, MN 56001 | 2013-05-15 |
1558688366 | Bryan Nicholas Rolfes | Otolaryngology | 935 Wayzata Blvd E Ste 200, Wayzata, MN 55391-2513 | 2010-05-03 |
1992795058 | Ilya Perepelitsyn | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3711 | 2005-10-28 |
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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.