MR. GREGORY TODD MESNA (NPI# 1679542070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679542070 |
| Entity Type | Individual |
| Full Name | MR. GREGORY TODD MESNA |
| Credential | MD |
| Practice Address |
7407 Wayzata Blvd. St. Louis Park MN 55426 |
| Practice Telephone | 9529274556 |
| Practice Fax Number | 9528971360 |
| Mailing Telephone | 9529274556 |
| Mailing Fax Number | 9528971360 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-04-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 35064 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P00088815 | 01 |
| MN | UCARE | 109283 | 01 |
| MN | BLUE CROSS INDIV | 24T91ME | 01 |
| MN | MEDICA | 13-11226 | 01 |
| MN | BLUE CROSS GROUP | 24T90SO | 01 |
| MN | MN652888100 | 05 | |
| MN | 652888100 | 05 | |
| MN | PREFERRED ONE | 01020301 | 01 |
| Street Address |
7407 WAYZATA BLVD. |
| City | ST. LOUIS PARK |
| State | MN |
| Zip Code | 55426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574445 | Echelon Surgical Specialists LLC | Plastic Surgery | 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 | 2018-07-05 |
| 1104252022 | Bashioum Cosmetic Surgery Center, Ltd. | Plastic Surgery | 445 Lake St E Ste 210, Wayzata, MN 55391-1671 | 2013-09-24 |
| 1184994501 | James Jerome Diehl | Plastic Surgery | 10530 W Riverview Dr, Eden Prairie, MN 55347-4921 | 2012-01-02 |
| 1851690697 | Jason Dean Fowler | Plastic Surgery | 1420 London Rd Ste 101, Duluth, MN 55805-2437 | 2011-03-18 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1013151430 | Jennifer Ann Cameron | Plastic Surgery | 310 Smith Ave N Ste 330, Saint Paul, MN 55102 | 2009-04-29 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1447442702 | Sue-mi C Tuttle | Plastic Surgery | 401 Phalen Blvd-ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-08-10 |
| 1033314943 | Tracy So Kayan | Plastic Surgery | 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | ST. LOUIS PARK |
| Zip Code | 55426 |
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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.