JON I MCIVER (NPI# 1689653792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689653792 |
| Entity Type | Individual |
| Full Name | JON I MCIVER |
| Credential | M.D. |
| Practice Address |
295 Phalen Blvd Saint Paul MN 55130-2400 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6514956600 |
| Practice Fax Number | 9528839677 |
| Mailing Telephone | 6514956600 |
| Mailing Fax Number | 9528839677 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 42697 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 649666100 | 05 |
| Street Address |
295 PHALEN BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901875 | Gwendolyn Martinique Kosevich | Nurse Practitioner | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2005-09-08 |
| 1811536865 | Kathryn Ann Hill | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2019-12-21 |
| 1659854123 | Carla Klassen | Physician Assistant | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-09-11 |
| 1447747563 | Rishav Aggarwal | Neurological Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-04-13 |
| 1528573458 | Nancy Ann Mack | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-12-14 |
| 1720507254 | Aditi Anil Velankar | Physical Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-09-15 |
| 1811419120 | Tamara Roseanne Nascene | Occupational Therapist | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-07-10 |
| 1922537992 | Jacque Therese Brumm | Nurse Practitioner | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-06-05 |
| 1811420441 | Zachary Bergman | Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-04-10 |
| 1063963577 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2016-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255452926 | Meysam A Kebriaei | Neurological Surgery | 347 Smith Ave N Ste 301, Saint Paul, MN 55102-3355 | 2007-04-02 |
| 1447747563 | Rishav Aggarwal | Neurological Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2018-04-13 |
| 1740786177 | Marjorie Odegard | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-04-04 |
| 1164957189 | Emma Kate Jones | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-04-27 |
| 1477085413 | Marcus Geffre | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-03-29 |
| 1710331566 | Julia Nugent | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2016-04-18 |
| 1669850418 | David Freeman | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2015-05-13 |
| 1942688205 | Matthew Glen Robertson | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101 | 2015-05-07 |
| 1053798728 | Kendall Mceachron | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2015-05-01 |
| 1316367733 | Ariella Maia Altman | Neurological Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2014-04-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
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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.