DR. PAUL R DIEKMANN (NPI# 1669490439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669490439 |
Entity Type | Individual |
Full Name | DR. PAUL R DIEKMANN |
Credential | M.D. |
Practice Address |
8290 University Ave Ne Suite 200 Fridley MN 55432-1847 |
Mailing Address |
6465 Wayzata Blvd Suite 900 St Louis Park MN 55426-1728 |
Practice Telephone | 7637869543 |
Practice Fax Number | 7637863320 |
Mailing Telephone | 9525125600 |
Mailing Fax Number | 9525125650 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 30329 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 73B81DI | 01 | |
HEALTHPARTNERS | HP13162 | 01 | |
MEDICA | 901551 | 01 | |
PREFERREDONE | 969990266006 | 01 |
Street Address |
8290 UNIVERSITY AVE NE SUITE 200 |
City | FRIDLEY |
State | MN |
Zip Code | 55432-1847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588638514 | Amy C Lindell | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-02-15 |
1568999126 | Peter D Fitzgerald | Physician Assistant | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2017-05-15 |
1912358219 | Kelli Michelle Cannata | Physician Assistant | 8290 University Ave Ne, Ste 200, Fridley, MN 55432-1847 | 2016-06-28 |
1245614247 | Jenna Evelyn Walker | Occupational Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2015-07-20 |
1891101838 | Katie Mclaughlin | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2014-07-10 |
1477973246 | Taylor James Ridley | Orthopaedic Surgery | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2014-04-21 |
1730515719 | Bryan D Dejarlais | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2013-09-23 |
1205277571 | Nea Rae Bennington | Physician Assistant | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2013-07-15 |
1699010132 | Seth David Engberg | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2012-12-11 |
1760726053 | Kristina L Withers | Physical Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2012-11-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
Find all providers in zip 55432 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215347117 | Marcus John Mittelsteadt | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2014-04-30 |
1477973246 | Taylor James Ridley | Orthopaedic Surgery | 8290 University Ave Ne, Fridley, MN 55432-1847 | 2014-04-21 |
1154547552 | Troy Dean Wolter | Orthopaedic Surgery | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2007-04-17 |
1285784892 | Erik Michael Wetter | Orthopaedic Surgery | 8290 University Ave Ne, Suite #200, Fridley, MN 55432-1847 | 2007-01-12 |
1295830339 | Jason Allen Barry | Orthopaedic Surgery | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-09-13 |
1275641383 | John Brittan Rogers | Orthopaedic Surgery | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-08-28 |
1033131438 | Robin C Crandall | Orthopaedic Surgery | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-07-24 |
1194747543 | Randall John Norgard | Orthopaedic Surgery | 8290 University Ave Ne, Fridley, Fridley, MN 55432-1847 | 2006-07-24 |
1366460917 | Philip Hardwick Haley | Orthopaedic Surgery | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-07-18 |
1538187299 | Gary R Sager | Orthopaedic Surgery | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2006-07-18 |
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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.