NORTHERN CARDIOVASCULAR CLINIC, PA (NPI# 1639799323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639799323 |
| Entity Type | Organization |
| Organization Name | NORTHERN CARDIOVASCULAR CLINIC, PA |
| Practice Address |
6565 France Ave S Ste 101 Edina MN 55435-2154 |
| Practice Telephone | 9525000653 |
| Practice Fax Number | 9528920254 |
| Mailing Telephone | 9525000653 |
| Mailing Fax Number | 9528920254 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | DOMINIC A PLUCINSKI (PRESIDENT) |
| Authorized Official Telephone | 7632294006 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
6565 FRANCE AVE S STE 101 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887214 | Shannon Greaves | Nurse Practitioner | 6565 France Ave S Ste 101, Edina, MN 55435-2154 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336335066 | One Stop Medical Center | Clinic/Center | 6545 France Ave S Ste C21, Edina, MN 55435-2181 | 2007-09-17 |
| 1295948842 | Laser Vision Center of Edina, LLC | Clinic/Center | 3601 W 76th St, Ste. 150, Edina, MN 55435-5242 | 2007-05-08 |
| 1932251402 | Pharmaceutical Care Associates, Inc. | Clinic/Center | 5702 Newport Dr, Suite 200, Edina, MN 55436-1726 | 2007-01-17 |
| 1558459206 | Metropolitan Pediatric Specialists, P.a. | Clinic/Center | 6545 France Ave S Ste 400, Edina, MN 55435-2115 | 2006-10-10 |
| 1396725602 | Comprehensive Ophthalmology, LLC | Clinic/Center | 3209 West 76th St, #303, Edina, MN 55435 | 2006-01-20 |
| 1043879901 | Rocket Surgery, LLC | Clinic/Center | 6565 France Ave S Ste 350, Edina, MN 55435-2159 | 2019-06-12 |
| 1609389675 | Doctor's House | Clinic/Center | 6565 France Ave S Ste 350, Edina, MN 55435-2137 | 2017-11-13 |
| 1578992772 | Passport Health Holdings LLC | Clinic/Center | 6700 France Ave S, Ste 150, Edina, MN 55435-1906 | 2013-11-07 |
| 1699014167 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 202, Edina, MN 55435-4551 | 2013-02-04 |
| 1720339716 | Allina Health System | Clinic/Center | 5301 Vernon Ave S, Edina, MN 55436-2303 | 2012-10-01 |
| Find all providers in EDINA | ||||
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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.