DR. GARY THOMAS LUNDBORG (NPI# 1629152079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629152079 |
| Entity Type | Individual |
| Full Name | DR. GARY THOMAS LUNDBORG |
| Credential | M.D. |
| Practice Address |
1 Veterans Dr Womens Clinic Minneapolis MN 55417-2309 |
| Mailing Address |
79 Western Ave N Unit 606 Saint Paul MN 55102-4601 |
| Practice Telephone | 6124671160 |
| Mailing Telephone | 6512242632 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 18690 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1 VETERANS DR WOMENS CLINIC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012762 | Peter T. Mitchell | Nurse Practitioner | 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 | 2005-06-10 |
| 1114527926 | Phuong Duy Le | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-30 |
| 1437759453 | Rebecca Fritze | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-28 |
| 1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1457950719 | Alisha Beckett | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1982203303 | Madeline Wollersheim | Speech-Language Pathologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1285232611 | Hannah Schmidt | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-16 |
| 1134736861 | Samuel William Schieffer | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-27 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1447865068 | Amanda Mueller | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
| 1225395114 | Elizabeth Olajumoke Alabi | Obstetrics & Gynecology | 701 Park Ave Sl350, Hennepin County Medical Center, Minneapolis, MN 55415-0001 | 2012-04-16 |
| 1275764748 | Peter Eilert Fehr | Obstetrics & Gynecology | 3931 Crystal Lake Blvd, Minneapolis, MN 55422-2326 | 2009-08-01 |
| 1134362809 | Maren Flynn | Obstetrics & Gynecology | 8170 33rd. Avenue South, Ms21110q, Minneapolis, MN 55440-1309 | 2009-04-10 |
| 1073755757 | Joshua David Kapfhamer | Obstetrics & Gynecology | 2828 Chicago Ave Ste 400, Minneapolis, MN 55407 | 2009-03-27 |
| 1164617569 | Suzanne Marie Darnell | Obstetrics & Gynecology | 320 Delaware St Se, U of Minnesota, Minneapolis, MN 55455 | 2007-09-09 |
| 1255452611 | Laura Marie Nezworski | Obstetrics & Gynecology | 701 Park Ave # P5.100, Minneapolis, MN 55415-1623 | 2007-04-03 |
| 1336208669 | Rebecca Ruth French | Obstetrics & Gynecology | 606 24th Avenue Sout Suite 300, Riveriside Professional Bldg, Minneapolis, MN 55454 | 2006-12-06 |
| 1457421885 | Preston P Williams | Obstetrics & Gynecology | 420 Delaware St Se, Mmc 395, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-11-09 |
| 1790860682 | Kirk D Ramin | Obstetrics & Gynecology | Maternal-fetal Medicine Center, 606 24th Avenue South, Suite 400, Minneapolis, MN 55454 | 2006-10-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
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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.