ANNETTA MADELINE MADSEN


Address: 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388
Phone: 6512417733

ANNETTA MADELINE MADSEN (NPI# 1669783619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669783619
Entity Type Individual
Full Name ANNETTA MADELINE MADSEN
Credential MD
Practice Address 347 Smith Ave N Ste 203
Saint Paul
MN 55102-2388
Mailing Address 2925 Chicago Ave
Minneapolis
MN 55407-1321
Practice Telephone 6512417733
Mailing Telephone (612) 262-5000
Enumeration Date 2010-06-24
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 55366 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN ENROLLED 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 1st St Sw, Rochester, MN 559050001 5072842511

Office Location

Street Address 347 SMITH AVE N STE 203
City SAINT PAUL
State MN
Zip Code 55102-2388

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174040919 Amanda Kay Rynda Nurse Practitioner 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 2017-08-23
1518330570 Colleen Mooney Surgery 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 2015-11-12

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NPI Name Taxonomy Address Enumeration
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1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326492182 Leah Christine Henke Obstetrics & Gynecology 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 2016-04-19
1275789091 Allina Health System Obstetrics & Gynecology 347 Smith Ave N Ste 204, Saint Paul, MN 55102-2388 2008-08-12
1861429334 Mark Anthony Damario Obstetrics & Gynecology 991 Sibley Memorial Hwy, Suite 100, Saint Paul, MN 55118-5113 2006-06-28
1922048123 Alan Buchbinder Obstetrics & Gynecology 514 Saint Peter Street, Suite 230, Saint Paul, MN 55102-3427 2006-06-07
1467412478 Marcy Benzer Thomas Obstetrics & Gynecology 671 Vandalia St, Saint Paul, MN 55114 2006-03-24
1295711265 Rolf Peter Ulland Obstetrics & Gynecology 870 Grand Ave, Saint Paul, MN 55105-3291 2005-12-21
1386006773 Betsy Dickson Obstetrics & Gynecology 205 Wabasha St S, Saint Paul, MN 55107-1805 2016-03-24
1437560380 Anuja Singh Obstetrics & Gynecology 671 Vandalia St, Saint Paul, MN 55114-1312 2014-05-14
1588081608 Rachel Soffer Parritz Obstetrics & Gynecology 17 Exchange St W Ste 622, Saint Paul, MN 55102 2014-03-26
1154680049 David Jize Wen Obstetrics & Gynecology 347 Smith Ave N, Suite 203, Saint Paul, MN 55102-2387 2012-05-11
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City SAINT PAUL
Zip Code 55102

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Dataset Information

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.

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