JOHN ALFRED SOUCHERAY (NPI# 1679560619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679560619 |
| Entity Type | Individual |
| Full Name | JOHN ALFRED SOUCHERAY |
| Credential | M.D. |
| Practice Address |
6025 Lake Rd Suite 200 Woodbury MN 55125-1712 |
| Practice Telephone | 6519996800 |
| Practice Fax Number | 6519996830 |
| Mailing Telephone | 6519996800 |
| Mailing Fax Number | 6519996830 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 17400 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 340065400 | 05 |
| Street Address |
6025 LAKE RD SUITE 200 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439523 | Aaron Jeremy Milbank | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2005-10-03 |
| 1891015384 | Mikhail Regelman | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2010-06-07 |
| 1922233287 | Jodi Sharon Michaels | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2009-05-15 |
| 1003058546 | Samuel Branch Kieley | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2009-03-30 |
| 1649447368 | Michael Joseph Ehlert | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2008-05-12 |
| 1629241062 | Anthony John Polcari | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2008-04-07 |
| 1831367168 | Metropolitan Urologic Specialists Pa | Urology | 6025 Lake Rd, Suite 100, Woodbury, MN 55125 | 2008-02-20 |
| 1356549638 | David Nathan Prall | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2007-07-06 |
| 1336355049 | Basir U Tareen | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2007-05-16 |
| 1336352681 | Anna M Leininger | Genetic Counselor, MS | 6025 Lake Rd, Woodbury, MN 55125-1712 | 2007-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386896827 | Eric A. Diamond Md PC | Urology | 8 Shannon Dr, Woodbury, NY 11797-1227 | 2008-10-15 |
| 1205042462 | Leo Krauss | Urology | 33 Orchard Dr, Woodbury, NY 11797-2827 | 2007-05-15 |
| 1508842717 | Douglas Allen Schow | Urology | 2025 Woodlane Dr, Woodbury, MN 55125-2998 | 2005-12-20 |
| 1366439523 | Aaron Jeremy Milbank | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2005-10-03 |
| 1902292733 | Jacquelyn Marie Gonka-griffo | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2015-04-08 |
| 1609294693 | Spencer Thomas Hart | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2014-04-07 |
| 1588924096 | Olga Povcher | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125 | 2012-05-18 |
| 1558637454 | Christopher Sefein Atalla | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2012-03-26 |
| 1932494630 | Christina A Godwin | Urology | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2011-06-10 |
| 1891015384 | Mikhail Regelman | Urology | 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | 2010-06-07 |
| Find all providers in WOODBURY | ||||
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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.