TERRY BOKSBERGER (NPI# 1689867129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689867129 |
| Entity Type | Individual |
| Full Name | TERRY BOKSBERGER |
| Credential | D.O. |
| Practice Address |
250 Central Ave N Suite 228 Wayzata MN 55391-1206 |
| Mailing Address |
8170 33rd Ave S Po Box 1309 Mail Stop 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9529938250 |
| Practice Fax Number | 9529938276 |
| Mailing Telephone | 9529938250 |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2016-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 107105 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2011-00868 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5101016814 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5919235 | 05 |
| Street Address |
250 CENTRAL AVE N SUITE 228 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1821538240 | Rebecca Christine Fichtel | Physician Assistant | 250 Central Ave N, Suite #220 & #228, Wayzata, MN 55391-1206 | 2017-03-04 |
| 1427457209 | Matthew David Quanrud | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2014-08-18 |
| 1073929543 | Lucas G Dueffert | Physical Therapist | 250 Central Ave N, Suite Ll 10, Wayzata, MN 55391-1206 | 2014-07-06 |
| 1962742650 | Taylor J. Stephens, D.d.s, P.a. | Clinic/Center | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2013-02-18 |
| 1245562180 | Brian A Gehling | Physical Therapist | 250 Central Ave N, Suite Ll-10, Wayzata, MN 55391-1206 | 2010-02-03 |
| 1710146394 | Taylor Stephens | Dentist | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2008-06-09 |
| 1659554517 | Wayzata Dental, Ltd. | Dentist | 250 Central Ave N, Suite 202, Wayzata, MN 55391-1206 | 2007-12-13 |
| 1083814206 | Monica Kennard,d.d.s.,p.a. | Dentist | 250 Central Ave N, Suite 211, Wayzata, MN 55391-1208 | 2007-07-25 |
| 1265650956 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 250 Central Ave N, Suite126, Wayzata, MN 55391-1206 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275786105 | Patricia Ann Sorensen | Family Medicine | 250 Central Ave N Bldg Ste 228, Wayzata, MN 55391-1206 | 2008-10-22 |
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1689651531 | Leonard Parsons | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2005-12-30 |
| 1780661629 | Laura N Olson | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2005-12-30 |
| 1477530996 | Dennis K Showalter | Family Medicine | 250 Central Ave N, Ste 228 Park Nicollet Clinic - Wayzat, Wayzata, MN 55391 | 2005-12-27 |
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|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
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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.