DR. EDUARDO TAVORA FERNANDES (NPI# 1639108830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639108830 |
| Entity Type | Individual |
| Full Name | DR. EDUARDO TAVORA FERNANDES |
| Credential | M.D. |
| Practice Address |
University of Minnesota Physicians 516 Delaware Street Se, Pwb First Floor, Clinic 1e Minneapolis MN 55455 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se, Mmc 394 Minneapolis MN 55455 |
| Practice Telephone | 6126266666 |
| Mailing Telephone | 6126266666 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 36795 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1016618 | 01 |
| MT | 0147459 | 05 | |
| IA | 0596908 | 05 | |
| MN | MEDICA CHOICE | 19-00526 | 01 |
| MN | BCBS | 383R1FE | 01 |
| MN | ARAZ | 777876 | 01 |
| MN | MEDICA PRIMARY | 19-00018 | 01 |
| MN | UCARE | 122707 | 01 |
| MN | HEALTHPARTNERS | HP26223 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023363934 | Eduardo Fernandes | Surgery | 1801 W Taylor St, Occ-3f, Chicago, IL 60612 | 2012-07-17 |
| Street Address |
UNIVERSITY OF MINNESOTA PHYSICIANS 516 DELAWARE STREET SE, PWB FIRST FLOOR, CLINIC 1E |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528830 | Sarah A Cooley | Internal Medicine | University of Minnesota Physicians, 420 Delaware St Se, Mmc 136, Minneapolis, MN 55455 | 2006-05-24 |
| 1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
| 1902201221 | Seena Susan George | Nurse Practitioner | University of Minnesota Physicians, Clinics and Surgery Center, 909 Fulton Street Se, Minneapolis, MN 55455 | 2014-10-29 |
| 1508087511 | Tereza Marta Cervenka | Internal Medicine | University of Minnesota Physicians, 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455 | 2007-05-01 |
| 1346469970 | Stuart Trent Guthrie | Orthopaedic Surgery | University of Minnesota Physicians, 2512 South 7th St, Suite R102, Minneapolis, MN 55454 | 2007-04-24 |
| 1376668251 | Donavon John Hess | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Room 4-100, Minneapolis, MN 55455 | 2007-03-20 |
| 1891836607 | Leon D Sabath | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se Clinic 6b, Minneapolis, MN 55455 | 2007-02-12 |
| 1508907882 | Melanie Jean Hanlon | Nurse Practitioner | University of Minnesota Physicians, 516 Delaware St Se 4-100 Pwb, Clinic 4a, Minneapolis, MN 55455 | 2007-02-09 |
| 1912054214 | Muhammad Fareed Khan Suri | Psychiatry & Neurology | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455 | 2007-01-05 |
| 1356404503 | Sue V Petzel | Psychologist | University of Minnesota Physicians, 606 24th Ave S, Suite 300, Minneapolis, MN 55455-5545 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1992961411 | Ricardo Miyaoka | Urology | 515 4th St Se Apt 203, Minneapolis, MN 55414-1745 | 2008-08-04 |
| 1992894059 | Robert Sweet | Urology | Pwb First Floor, Clinic 1e, 420 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-12 |
| 1235233727 | Joel W Slaton | Urology | Center for Minimally Invasive Surgery, 500 Harvard Street Se, Minneapolis, MN 55455 | 2006-09-12 |
| 1912937657 | Badrinath R Konety | Urology | 420 Delaware St Se, Ste B435, Institute for Prostate and Urologic Cancers, Minneapolis, MN 55455 | 2006-07-04 |
| 1861435943 | Sean Patrick Elliott | Urology | 420 Delaware St Se, Mmc 394, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-06-14 |
| 1881663169 | Stanley John Antolak Jr. | Urology | 7400 France Ave S, Suite 100, Minneapolis, MN 55435-4738 | 2006-03-17 |
| 1013424019 | Allina Health System | Urology | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2017-12-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.