DR. GINA M BENASSI (NPI# 1619954849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619954849 |
| Entity Type | Individual |
| Full Name | DR. GINA M BENASSI |
| Credential | DC, FACO, |
| Practice Address |
731 Bielenberg Drive Suite 101 Woodbury MN 55025-1700 |
| Practice Telephone | 6515789191 |
| Practice Fax Number | 6517027499 |
| Mailing Telephone | 6515789191 |
| Mailing Fax Number | 6517027499 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2985 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE ID - TYPE UNSPECIFIED | 350002251 | 01 |
| MN | RAILROAD MEDICARE | 350049060 | 01 |
| MN | FOCUS HEALTHCARE MGMNT | 476452 | 01 |
| MN | 498528100 | 05 | |
| FEDERAL TAX ID | 41-1883279 | 01 | |
| MN | EPNI SELECT CHIROPRACTIC | 02B21BE | 01 |
| MN | CHIROCARE OF MN | 231918 | 01 |
| MN | PROVIDER # | 02B20BE | 01 |
| MN | HSM PROVIDER NUMBER | 0446 | 01 |
| MN | PREFERRED CHIROPRACTIC CA | MN3755 | 01 |
| Street Address |
731 BIELENBERG DRIVE SUITE 101 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55025-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293981 | Empower Health Chiropractic | Chiropractor | 670 Commerce Dr Ste 110, Woodbury, MN 55125-9210 | 2019-12-31 |
| 1023670684 | N Y Prohealth Chiropractic P C | Chiropractor | 100 Cypress Dr, Woodbury, NY 11797-1522 | 2019-07-03 |
| 1205303997 | Laser Therapy Body Inc | Chiropractor | 313 W Main St Ste C, Woodbury, TN 37190-1144 | 2018-10-31 |
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1780042036 | Tyler James Peterson | Chiropractor | 8470 City Centre Dr Ste D, Woodbury, MN 55125-3356 | 2016-02-02 |
| 1790143220 | Drew Ebel | Chiropractor | 8147 Globe Dr, Suite 100, Woodbury, MN 55125-3379 | 2016-01-28 |
| 1558727842 | Ashley Kroneberger | Chiropractor | 2110 Eagle Creek Ln, Suite 400, Woodbury, MN 55129-3205 | 2016-01-03 |
| 1710355334 | Melissa Beck | Chiropractor | 226 Main St N, Woodbury, CT 06798-2918 | 2015-09-14 |
| 1124413893 | Ae Chiropractic Pa | Chiropractor | 683 Bielenberg Dr Ste 104, Woodbury, MN 55125-1704 | 2015-03-31 |
| 1437596350 | Daniel Dino Cianni | Chiropractor | 675 Commons Dr, Woodbury, MN 55125-8880 | 2013-06-01 |
| Find all providers in WOODBURY | ||||
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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.