MICHAEL VAUGHN EMERSON (NPI# 1649222902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649222902 |
| Entity Type | Individual |
| Full Name | MICHAEL VAUGHN EMERSON |
| Credential | MD |
| Practice Address |
710 E 24th St Ste 304 Minneapolis MN 55404-3846 |
| Mailing Address |
710 E 24th St Suite 304 Minneapolis MN 55404-3846 |
| Practice Telephone | 6128712292 |
| Practice Fax Number | 9524605274 |
| Mailing Telephone | 6128712292 |
| Mailing Fax Number | 9524605274 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
50633 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213372 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558587402 | Michael A Emerson | Technician/Technologist | 8685 La Mesa Boulevard, La Mesa, CA 91941-3992 | 2007-04-18 |
| 1689744146 | Michael Emerson | Dentist | 1821 Saratoga Ave Ste 105, Saratoga, CA 95070-6600 | 2006-11-09 |
| 1013986348 | Michael A Emerson | Counselor | 11 Friendship Ln, Suite 202, Montana City, MT 59634-9804 | 2006-03-17 |
| Street Address |
710 E 24TH ST STE 304 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166768 | Yevgeniy Vladimirovich Sychev | Ophthalmology | 710 E 24th St Ste 304, Minneapolis, MN 55404-3846 | 2011-04-11 |
| 1396776951 | Abdhish Raman Bhavsar | Ophthalmology | 710 E 24th St Ste 304, Minneapolis, MN 55404-3846 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780720201 | Jacob Michael Jones | Ophthalmology | 710 E. 24th St, Suite 304, Minneapolis, MN 55404-3846 | 2007-01-30 |
| 1619355617 | Hossein Khanamiri Nazari | Ophthalmology | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2015-05-11 |
| 1396776951 | Abdhish Raman Bhavsar | Ophthalmology | 710 E 24th St Ste 304, Minneapolis, MN 55404-3846 | 2006-07-05 |
| 1689604316 | Retina Center Pa | Ophthalmology | 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 | 2006-07-05 |
| 1801848171 | Geoffrey Guy Emerson | Ophthalmology | 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 | 2006-05-16 |
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MICHAEL VAUGHN EMERSON.
| 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.