FAIRVIEW EXPRESS CARE (NPI# 1700235587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700235587 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW EXPRESS CARE |
| Other Organization Name | M HEALTH FAIRVIEW PEDIATRIC THERAPY - WOODBURY |
| Practice Address |
9680 Tamarack Rd Suite 130 Woodbury MN 55125-2617 |
| Mailing Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
| Practice Telephone | 6122731172 |
| Practice Fax Number | 6122738490 |
| Mailing Telephone | 6122736000 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | ROBERT ANDREW MCCOY (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126726594 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fairview Pediatric Therapy-Woodbury | Doing Business As Name - Organization |
| M Health Fairview Pediatric Therapy - Woodbury | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1407834302 | Fairview Express Care | Clinic/Center | 2600 39th Ave Ne, Ste 220, Minneapolis, MN 55421-4379 | 2006-01-03 |
| 1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1568070936 | Fairview Express Care | General Practice | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2020-07-21 |
| 1912515388 | Fairview Express Care | General Practice | 911 Northland Dr, Princeton, MN 55371-2172 | 2020-07-21 |
| 1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
| 1679048763 | Fairview Express Care | Specialist | 400 Stinson Blvd, Minneapolis, MN 55413-2614 | 2018-10-04 |
| 1346722675 | Fairview Express Care | General Practice | 400 Stinson Blvd, Minneapolis, MN 55413-2613 | 2018-09-04 |
| Street Address |
9680 TAMARACK RD SUITE 130 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841280 | Rachel Sessions | Speech-Language Pathologist | 9680 Tamarack Rd, Suite 130, Woodbury, MN 55125-2617 | 2016-06-07 |
| 1659924769 | Rachel Schlichting | Speech-Language Pathologist | 9680 Tamarack Rd, Woodbury, MN 55125-2622 | 2019-07-17 |
| 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 | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366686370 | Sherri Haas | Physical Medicine & Rehabilitation | 730 N 4th St Unit 513, Minneapolis, MN 55401-1986 | 2009-04-22 |
| 1700417003 | Megan Pauly | Physical Medicine & Rehabilitation | 3400 W 66th St Ste 300, Edina, MN 55435-2110 | 2020-01-27 |
| 1255621348 | Andrea L Paulson | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101-2507 | 2011-04-11 |
| 1437478179 | Amy Ashley Authement | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101-2507 | 2010-05-20 |
| 1447485321 | Angela Sinner Begnaud | Physical Medicine & Rehabilitation | 200 University Ave E, Gillette Children's Specialty Healthcare, Saint Paul, MN 55101-2507 | 2009-05-21 |
| 1932342060 | Sarah J Kiesling | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101-2507 | 2009-04-20 |
| 1346436417 | Nanette Aldahondo | Physical Medicine & Rehabilitation | 200 University Ave E, Gillette Children's Specialty Healthcare, Saint Paul, MN 55101-2507 | 2007-09-21 |
| 1063608156 | Christopher Najarian | Physical Medicine & Rehabilitation | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-09-21 |
| 1376688671 | Carolyn J. Forsman | Physical Medicine & Rehabilitation | 400 E 3rd St, Smdc Medical Center-duluth Clinic, Duluth, MN 55805-1951 | 2007-02-21 |
| 1912096710 | Heidi Jane Goldstein | Physical Medicine & Rehabilitation | Childrens Health Care, 345 North Smith Ave, St Paul, MN 55102 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
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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.