ELK RIDGE CLINIC (NPI# 1639243207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639243207 |
Entity Type | Organization |
Organization Name | ELK RIDGE CLINIC |
Practice Address |
14181 Business Center Dr Nw Elk River MN 55330-4654 |
Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
Practice Telephone | 9526532528 |
Mailing Telephone | 9526532528 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GENE WINKELMAN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9526532528 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Street Address |
14181 BUSINESS CENTER DR NW |
City | ELK RIVER |
State | MN |
Zip Code | 55330-4654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245209741 | Scott C. Waters | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2006-03-16 |
1306379870 | Julie Kallemeyn | Physical Therapist | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2017-04-11 |
1427476449 | Rachel Nebelsick | Pediatrics | 14181 Business Center Dr Nw, Elk River, MN 55330 | 2014-04-07 |
1710319066 | Jennifer Lynn Filips | Nurse Practitioner | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-08-08 |
1215374152 | Amy Lynn Keller | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2013-06-02 |
1447506258 | Jessica Kesinger | Physician Assistant | 14181 Business Center Dr Nw, Elk River, MN 55330 | 2012-07-30 |
1083969778 | Angela Mathison | Nurse Practitioner | 14181 Business Center Dr Nw, Elk River, MN 55330 | 2012-07-18 |
1770842007 | Yordanka R Alvarez | Family Medicine | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2012-05-07 |
1386940732 | Allina Health System | Clinic/Center | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2011-02-02 |
1750410148 | Rebecca Buttke | Physical Therapist | 14181 Business Center Dr Nw, Elk River, MN 55330-4654 | 2007-03-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
Find all providers in zip 55330 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710300801 | North Memorial Health Care | Non-Pharmacy Dispensing Site | 800 Freeport Ave Nw, Elk River, MN 55330-2723 | 2014-01-27 |
1902035405 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 290 Main St Nw, Elk River, MN 55330-1270 | 2009-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
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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.