BRIAN D. AMDAHL (NPI# 1609829357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829357 |
| Entity Type | Individual |
| Full Name | BRIAN D. AMDAHL |
| Credential | M.D. |
| Practice Address |
1600 Saint Johns Blvd Suite 201 Maplewood MN 55109-1183 |
| Practice Telephone | 6517799322 |
| Practice Fax Number | 6517799325 |
| Mailing Telephone | 6517799322 |
| Mailing Fax Number | 6517799325 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
33382 | MN | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
33382 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1600 SAINT JOHNS BLVD SUITE 201 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619115458 | Marc Nicoloff | Physician Assistant | 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | 2009-02-02 |
| 1366694655 | Viola Maria Tracy | Internal Medicine | 1600 Saint Johns Blvd, Ste 200, Maplewood, MN 55109-1183 | 2008-10-17 |
| 1407903222 | Bryan J Williams | Internal Medicine | 1600 Saint Johns Blvd, Healtheast Lung Center, Maplewood, MN 55109-1183 | 2007-01-04 |
| 1255490751 | William Henry Vold | Dentist | 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109-1183 | 2006-12-08 |
| 1124187620 | Jana Lynne Voss | Dentist | 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109-1183 | 2006-12-08 |
| 1669531174 | Jodell F Masciopinto | Dentist | 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109-1183 | 2006-12-08 |
| 1811057292 | Jason Brian Ziemer | Dentist | 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109-1183 | 2006-12-08 |
| 1982762423 | Pdg, P.a. | Dentist | 1600 Saint Johns Blvd, Suite 100, Maplewood, MN 55109-1183 | 2006-12-05 |
| 1841363223 | Juan Carlos Zeballos Chavez | Internal Medicine | 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | 2006-11-16 |
| 1780757039 | Dana Lange | Spec/Tech, Cardiovascular | 1600 Saint Johns Blvd, Suite 200, Maplewood, MN 55109-1183 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619108693 | Sakina B Naqvi | Internal Medicine | 3100 Kennard St Ste 220, Maplewood, MN 55109-5465 | 2009-08-07 |
| 1902850860 | John P Miller | Internal Medicine | 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205196854 | Katherine Tran Janssen | Internal Medicine | Mmc 276, 420 Delaware Street Se, Minneapolis, MN 55455 | 2012-05-16 |
| 1235360140 | Inga C Forde | Internal Medicine | 640 Jackson St # Ms 11502b, Saint Paul, MN 55101-2502 | 2009-07-28 |
| 1083804256 | Trina J Hollatz | Internal Medicine | 920 E 1st St Ste 201, Duluth, MN 55805-2215 | 2007-07-25 |
| 1356542211 | Joshua Cohen | Internal Medicine | 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 | 2007-05-29 |
| 1578674818 | Richard Douglas Thorsen | Internal Medicine | 11215 Dakotah St Nw, Coon Rapids, MN 55433-2563 | 2006-08-31 |
| 1699729574 | Anuja Sharma | Internal Medicine | 1404 Kingswood Ponds Rd, Eagan, MN 55122-2877 | 2006-05-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1356994404 | Brienne L Sauvageau | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-07-18 |
| 1750943023 | Stacy Jepsen | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2019-07-08 |
| 1801242060 | Abdelrahman Mohamedosman Ali Ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2016-05-06 |
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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.