PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1699009506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699009506 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
4670 Park Nicollet Ave Se Prior Lake MN 55372-4119 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529937750 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
4670 PARK NICOLLET AVE SE |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265396 | Matthew T Kremer | Internal Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2005-12-07 |
| 1316432974 | Brianna Marie Seawell | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2018-06-26 |
| 1811323512 | Andrea J Berger | Physical Therapist | 4670 Park Nicollet Ave Se, Rehabilitation Services, Prior Lake, MN 55372-4119 | 2013-09-25 |
| 1598049603 | Nicholas John Schneider | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2011-10-07 |
| 1093032484 | Nicole Lynn Ulrich | Family Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2010-04-26 |
| 1881841021 | Northland Dental Partners Pllc | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2008-08-19 |
| 1558520361 | Samuel Asante-buabeng | Family Medicine | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 | 2008-06-06 |
| 1497879951 | Orthodontic Care Group | Dentist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2007-03-19 |
| 1689732133 | Pdg,p.a. | Dentist | 4670 Park Nicollet Ave Se, Suite 100, Prior Lake, MN 55372-3908 | 2006-12-05 |
| 1558460113 | Kristen Dee Lindstrom | Physical Therapist | 4670 Park Nicollet Ave Se, Prior Lake, MN 55372-3908 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
| 1144827197 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 1151 Ryans Rd Ste 100, Worthington, MN 56187-1769 | 2020-10-02 |
| 1932706082 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 131 St Olaf Ave N, Canby, MN 56220-1371 | 2020-10-01 |
| 1154936540 | Caerus Corp | Durable Medical Equipment & Medical Supplies | 1251 Red Fox Rd # 603, Arden Hills, MN 55112-6943 | 2020-09-11 |
| 1043829286 | Janet Kay Strassburg | Durable Medical Equipment & Medical Supplies | 4601 Excelsior Blvd Ste 401, St Louis Park, MN 55416-4977 | 2020-07-23 |
| 1336766294 | Royal Apex Solutions LLC | Durable Medical Equipment & Medical Supplies | 700 Fox Rd, Lino Lakes, MN 55014-5468 | 2020-06-26 |
| 1215554225 | Mesa, LLC | Durable Medical Equipment & Medical Supplies | 2603 Bloomington Ave, Minneapolis, MN 55407-1137 | 2020-06-26 |
| 1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
| 1942829569 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2300 Hasting Ave, Suite 1, Newport, MN 55055 | 2020-04-14 |
| 1508495797 | Corner Medical LLC | Durable Medical Equipment & Medical Supplies | 1201 Center Ave W, Dilworth, MN 56529-1352 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
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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.