DR. ALEX SNEIDERS (NPI# 1629071675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629071675 |
| Entity Type | Individual |
| Full Name | DR. ALEX SNEIDERS |
| Credential | M.D. |
| Practice Address |
300 State Ave Faribault MN 55021-6319 |
| Mailing Address |
924 1st St Ne Faribault MN 55021-5441 |
| Practice Telephone | 5073333200 |
| Practice Fax Number | 5073333211 |
| Mailing Telephone | 5073333000 |
| Mailing Fax Number | 5073333211 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 31957 | MN | Other Service Providers |
| N | 174400000X | Specialist | MD00033295 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1096965 | 05 |
| Street Address |
300 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540810 | Bauj S Yang | Nurse Practitioner | 300 State Ave, Faribault, MN 55021-6319 | 2020-08-25 |
| 1013541408 | Kris Lee Dutton | Specialist/Technologist | 300 State Ave, Faribault, MN 55021-6319 | 2020-02-25 |
| 1073040838 | Mayo Clinic Health System-southeast Minnesota Region | Durable Medical Equipment & Medical Supplies | 300 State Ave, Faribault, MN 55021-6319 | 2017-05-11 |
| 1457779563 | Brian Igoni Wariboko | Family Medicine | 300 State Ave, Faribault, MN 55021-6319 | 2014-04-04 |
| 1003077223 | Jason Allen Lee | Physical Medicine & Rehabilitation | 300 State Ave, Faribault, MN 55021-6319 | 2008-06-19 |
| 1730264037 | James Layne Moore | Psychiatry & Neurology | 300 State Ave, Faribault, MN 55021-6319 | 2006-10-26 |
| 1508884917 | Shelly Joan Myrom | Nurse Practitioner | 300 State Ave, Faribault, MN 55021 | 2006-07-17 |
| 1649204645 | Judy Lynn Fruehbrodt-glenzinski | Family Medicine | 300 State Ave, Faribault, MN 55021 | 2006-07-10 |
| 1134169246 | Jory M Burroughs | Obstetrics & Gynecology | 300 State Ave, Faribault, MN 55021-6319 | 2006-06-07 |
| 1164400057 | Travis L Roethler | Physician Assistant | 300 State Ave, Faribault, MN 55021-6319 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013096437 | B C Shoes Inc. | Specialist | 128 Central Ave N, Faribault, MN 55021-5298 | 2006-11-05 |
| 1003881236 | Beth Stember | Specialist | 328 Heritage Pl, Suite B, Faribault, MN 55021-5251 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.