DR. MARIANA J CANONIERO (NPI# 1609912740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609912740 |
| Entity Type | Individual |
| Full Name | DR. MARIANA J CANONIERO |
| Credential | MD |
| Practice Address |
6500 Excelsior Blvd Saint Louis Park MN 55426-4702 |
| Mailing Address |
8170 33rd Ave S Po Box 1309 Mail Stop 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9529933246 |
| Mailing Telephone | 9529933246 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
49943 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6500 EXCELSIOR BLVD |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55426-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588014831 | Jessica Gore | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2016-06-17 |
| 1245664630 | Erin Elizabeth Lalley | Nurse Practitioner | 6500 Excelsior Blvd, Suite 4-820, Saint Louis Park, MN 55426-4702 | 2013-08-21 |
| 1831535558 | Adrianne Rose Mallen | Obstetrics & Gynecology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2013-05-21 |
| 1447696760 | Gerri Lee Clements | Advanced Practice Midwife | 6500 Excelsior Blvd, Hvc 5th Floor, Saint Louis Park, MN 55426-4702 | 2013-05-14 |
| 1003196148 | Chelsey Marie Peters | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2011-08-21 |
| 1164757035 | Jennifer M Neist | Registered Nurse | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2009-10-12 |
| 1144490400 | Andrea Marie Kinzer | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2008-03-03 |
| 1306068150 | David Brokl | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-05-02 |
| 1659494342 | Jason Christopher Carvalho | Pathology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-04-09 |
| 1053439497 | Tina Patricia Lavin | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1386621860 | Elizabeth Bisinov | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619515 | Jrk Medical LLC | Internal Medicine | 2633 Superior Dr Nw Ste 100, Rochester, MN 55901-8395 | 2018-02-20 |
| 1215346507 | Thomas Russell II | Internal Medicine | 12315 Otchipwe Ave N, Stillwater, MN 55082-9547 | 2014-08-12 |
| 1336568724 | Alexandra Ritts | Internal Medicine | 3300 Oakdale Ave N # 200, Robbinsdale, MN 55422-2926 | 2014-04-14 |
| 1316364797 | Sumit I Patel | Internal Medicine | 420 Delaware Street Se, Mmc 508, Minneapolis, MN 55455 | 2014-03-24 |
| 1538472048 | Manpreet Singh Sabharwal | Internal Medicine | 225 Smith Ave N # Ate400, Saint Paul, MN 55102-2533 | 2010-07-26 |
| 1386884914 | Murad Heart Care | Internal Medicine | 3747 Woodland Trl, Eagan, MN 55123-2401 | 2009-02-22 |
| 1326295536 | John Allen Spittell Jr. | Internal Medicine | 614 Memorial Pkwy Sw, Rochester, MN 55902-6349 | 2008-08-20 |
| 1861692519 | Rebecca Jane Cogswell | Internal Medicine | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2007-07-20 |
| 1457470155 | Bilal Shaukat Ali | Internal Medicine | 5121 W 59th St, Edina, MN 55436-2612 | 2007-03-27 |
| 1629107511 | Stephen N Oesterle | Internal Medicine | Medtronic Inc., Ms Lc 400, 710 Medtronic Pkwy., Ne, Minneapolis, MN 55432 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55426 |
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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.