FAIRVIEW HEALTH SERVICES (NPI# 1639550320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639550320 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVICES |
| Other Organization Name | FAIRVIEW CLINICS - MEMORY CARE, BURNSVILLE |
| Practice Address |
303 E Nicollet Blvd Suite 200 Burnsville MN 55337-4522 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 9529141733 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | MR. DANIEL FROMM (SENIOR VP AND CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fairview Clinics - Memory Care, Burnsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392398 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr Ste 150, Woodbury, MN 55125-2518 | 2018-10-16 |
| 1114492014 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 827 N 6th Ave, Virginia, MN 55792-2308 | 2018-10-06 |
| 1023583929 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1101 E 37th St Ste 18, Hibbing, MN 55746-2973 | 2018-10-06 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1972084044 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 1925 Woodwinds Dr Ste N1-055, Woodbury, MN 55125-4445 | 2018-08-27 |
| 1881141349 | Fairview Health Services | Physical Therapist | 3305 Central Park Village Drive, Suite 130, Eagan, MN 55121-7707 | 2016-09-01 |
| 1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
| 1104091131 | Fairview Health Services | Clinic/Center | 156 Cobblestone Ln, Burnsville, MN 55337-4578 | 2008-04-30 |
| 1184899486 | Fairview Health Services | Clinic/Center | 1230 School St Nw, Elk River, MN 55330-2422 | 2008-04-28 |
| 1467416677 | Fairview Health Services | Clinic/Center | 650 Taft St Ne, Ste 400, Minneapolis, MN 55413-2832 | 2006-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAIRVIEW HEALTH SERVICES | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Street Address |
303 E NICOLLET BLVD SUITE 200 |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285636712 | Joanne Ruth Marsh | Nurse Practitioner | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2005-08-15 |
| 1992351738 | Brigitta Hope Aadland Keyler | Advanced Practice Midwife | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2019-08-16 |
| 1003475690 | Milgo Hassan | Registered Nurse | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2019-06-07 |
| 1427538875 | Kate Johnson | Advanced Practice Midwife | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2018-08-15 |
| 1508350513 | Hannah N Deutschman | Advanced Practice Midwife | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2018-06-22 |
| 1487182432 | Kayla Marie Fuller Stinger | Advanced Practice Midwife | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2017-06-02 |
| 1609310614 | Brianna N Teigen | Marriage & Family Therapist | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2016-12-09 |
| 1578917100 | Sahar Ahmed | Pediatrics | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2016-04-20 |
| 1982060075 | Fairview Health Services | Clinic/Center | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2016-01-06 |
| 1669715421 | Amanda Lynn Schuh | Nurse Practitioner | 303 E Nicollet Blvd, Suite 200, Burnsville, MN 55337-4522 | 2013-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902262 | James Hamilton Woodrow Mckay IIi | Family Medicine | 374 Shepard Way, Burnsville, NC 28714-2850 | 2009-06-22 |
| 1497783955 | Bruce John Anderson | Family Medicine | 2724 Isle Royale Ct, Burnsville, MN 55337-3424 | 2006-06-30 |
| 1841265865 | Joseph James Antinori | Family Medicine | 14 Academy St, Burnsville, NC 28714-2902 | 2006-02-22 |
| 1609856590 | Mountain Medical Arts Pllc | Family Medicine | 2 S Main St, Burnsville, NC 28714-2929 | 2006-01-18 |
| 1477536944 | Jeanne M Hesse | Family Medicine | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2005-11-29 |
| 1003897042 | Philip K Mitchell | Family Medicine | 116 Seven Mile Ridge Rd, Burnsville, NC 28714-8509 | 2005-11-08 |
| 1700878972 | Bernarda M Zenker | Family Medicine | 2434 E 117th St, Suite 200, Burnsville, MN 55337-1295 | 2005-08-16 |
| 1407848658 | Steven L Johnson | Family Medicine | 14000 Nicollet Ave, Ste 100, Burnsville, MN 55337-5790 | 2005-08-15 |
| 1457353864 | Leonard J Warren | Family Medicine | 14000 Nicollet Ave S, Burnsville, MN 55337-5790 | 2005-08-15 |
| 1053312256 | David Gray | Family Medicine | 14000 Nicollet Ave Ste 100, Burnsville, MN 55337-5793 | 2005-08-10 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.