FAIRVIEW EXPRESS CARE (NPI# 1710133343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710133343 |
Entity Type | Organization |
Organization Name | FAIRVIEW EXPRESS CARE |
Other Organization Name | UNIVERSITY OF MINNESOTA PHYSICIANS HEART AT FAIRVIEW |
Practice Address |
6405 France Ave S Ste 200 Edina MN 55435-2163 |
Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
Practice Telephone | 6123655000 |
Practice Fax Number | 9529240330 |
Mailing Telephone | 6126726724 |
Enumeration Date | 2008-08-14 |
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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
M Health Fairview Heart Clinic - Edina | Other Name - Individual/Organization |
University of Minnesota Physicians Heart at Fairview | Doing Business As Name - 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 |
6405 FRANCE AVE S STE 200 |
City | EDINA |
State | MN |
Zip Code | 55435-2163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710972864 | Demosthenes N Iskos | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2005-09-14 |
1790145738 | Aybike Bakan-fischer | Physician Assistant | 6405 France Ave S, Edina, MN 55435-2163 | 2016-03-03 |
1225496128 | Stephanie Rose Norgaard-erickson | Nurse Practitioner | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2016-02-05 |
1851717136 | Eric Richard Nelson Md | Ophthalmology | 6405 France Ave S, Suite W460, Edina, MN 55435-2163 | 2014-03-11 |
1538599790 | Fairview Health Services | Clinic/Center | 6405 France Ave S, Suite 480, Edina, MN 55435 | 2013-11-25 |
1538504014 | Erin Jean Frendin | Physician Assistant | 6405 France Ave S, Ste W200, Edina, MN 55435-2163 | 2013-05-09 |
1689937963 | Brittany N Smith | Physician Assistant | 6405 France Ave S, Edina, MN 55435 | 2012-06-21 |
1336409978 | Katherine Eileen Hawkins | Surgery | 6405 France Ave S, Edina, MN 55435-2163 | 2012-05-16 |
1265721906 | Joy A Hasseler | Obstetrics & Gynecology | 6405 France Ave S, Ste W400, Edina, MN 55435-2163 | 2011-04-04 |
1235395864 | Fairview Express Care | Surgery | 6405 France Ave S, Suite W440, Edina, MN 55435-2190 | 2008-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457470155 | Bilal Shaukat Ali | Internal Medicine | 5121 W 59th St, Edina, MN 55436-2612 | 2007-03-27 |
1194792978 | Elizabeth Klodas | Internal Medicine | 6545 France Avenue S., Suite 125, Edina, MN 55435 | 2006-03-01 |
1679551998 | Elizabeth Z Grey | Internal Medicine | 7373 France Ave S Ste 204, Edina, MN 55435-4538 | 2006-01-06 |
1740268960 | Robert Ketroser | Internal Medicine | 6405 France Avenue South, Suite W200, Edina, MN 55435 | 2006-01-06 |
1497732804 | Steven Heifetz | Internal Medicine | 6405 France Ave S Ste, W200, Edina, MN 55435 | 2005-12-28 |
1801873294 | James Erdahl | Internal Medicine | 6405 France Avenue, Ste W200, Edina, MN 55435 | 2005-12-27 |
1861479370 | Stephen Battista | Internal Medicine | 6405 France Avenue S, Ste W200, Edina, MN 55435 | 2005-12-27 |
1710972864 | Demosthenes N Iskos | Internal Medicine | 6405 France Ave S, Suite W200, Edina, MN 55435-2163 | 2005-09-14 |
1265436505 | Laura A. Diamandopoulos | Internal Medicine | 6405 France Ave S Ste W200, Edina, MN 55435-2186 | 2005-06-01 |
1174989560 | Northern Veins, P.a. | Internal Medicine | 6565 France Ave S, Suite 101, Edina, MN 55435-2137 | 2016-01-14 |
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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.