HEALTHEAST MEDICAL RESEARCH INSTITUTE (NPI# 1720230089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720230089 |
| Entity Type | Organization |
| Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Other Organization Name | HEALTHEAST HUGO CLINIC |
| Practice Address |
14688 Everton Ave. Suite 101 Hugo MN 55038 |
| Practice Telephone | 6513267701 |
| Practice Fax Number | 6513261190 |
| Mailing Telephone | 6513267701 |
| Mailing Fax Number | 6513261190 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | KEVIN N SVENBY (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 6513263791 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | C05113 | 01 |
| Other Name | Type Code |
|---|---|
| HealthEast Hugo clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588063580 | Healtheast Medical Research Institute | Pediatrics | 9900 Tamarack Road, Woodbury, MN 55125 | 2014-08-15 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1831145705 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1825 Woodwinds Dr, Woodbury, MN 55125 | 2006-05-25 |
| 1801842729 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 6936 Pine Arbor Drive South, Suite 100, Cottage Grove, MN 55016-3007 | 2006-05-25 |
| 1750791810 | Healtheast Medical Research Institute | Surgery | 2945 Hazelwood St, Maplewood, MN 55109-1241 | 2014-04-29 |
| 1053620187 | Healtheast Medical Research Institute | Family Medicine | 2680 Snelling Ave N, Suite 200, Roseville, MN 55113-1876 | 2010-10-07 |
| 1508191552 | Healtheast Medical Research Institute | Internal Medicine | 1700 University Ave W, 6th Floor West, Saint Paul, MN 55104-3727 | 2009-10-08 |
| 1194987735 | Healtheast Medical Research Institute | Hospitalist | 45 West 10th Street, Saint Paul, MN 55102-1004 | 2008-06-25 |
| 1578723383 | Healtheast Medical Research Institute | Family Medicine | 1925 Woodwinds Dr, Woodbury, MN 55125-2270 | 2008-06-16 |
| Street Address |
14688 EVERTON AVE. SUITE 101 |
| City | HUGO |
| State | MN |
| Zip Code | 55038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948093 | Shanasi Mason | Counselor | 7041 20th Ave S, Centerville, MN 55038 | 2016-08-28 |
| 1982052601 | Patricia Morgan-john | Counselor | 1784 Steven Lane, Centerville, MN 55038 | 2016-06-03 |
| 1811356306 | Drytech Co. LLC | Contractor | 13483 Fenway Blvd Circle No., Hugo, MN 55038 | 2016-02-12 |
| 1750748422 | Lisa Chong Jou | Counselor | 7041 20th Avenue South, Centerville, MN 55038 | 2016-01-26 |
| 1285997577 | William Michael Beeves | Counselor | 7041 20th Avenue S, Centerville, MN 55038 | 2012-06-21 |
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1437276763 | Northeast Eye Care of Hugo | Optometrist | 14643 Mercantile Blvd, Suite 112, Hugo, MN 55038 | 2007-03-23 |
| 1134284631 | Hugo Dental Care Pa | Dentist | 5677 147th St N, Hugo, MN 55038 | 2006-12-26 |
| 1023172657 | Sean Patrick Bates | Dentist | 14755 Victor Hugo Blvd, Suite 103, Hugo, MN 55038 | 2006-12-20 |
| 1417027426 | George Howard Lindy | Dentist | 14475 Forest Blvd N, Hugo, MN 55038 | 2006-11-08 |
| Find all providers in zip 55038 | ||||
| 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 |
|---|---|---|---|---|
| 1881868669 | Prili D Gandhi | Family Medicine | 14688 Everton Ave, He Hugo Clinic, Hugo, MN 55038 | 2008-04-14 |
| 1992817142 | Christine E Gove | Family Medicine | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 2006-08-31 |
| 1699702712 | Michael J Irvin | Family Medicine | 1001 E Jackson St, Hugo, OK 74743-4225 | 2006-06-26 |
| 1154380467 | Joseph T Moriarity | Family Medicine | 14688 Everton Ave N, Hugo, MN 55038-6064 | 2006-03-23 |
| 1225014319 | Arthur P Wineman | Family Medicine | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2005-12-20 |
| 1922099860 | Teddy Ray Rowland | Family Medicine | 1201 E Jackson St, Hugo, OK 74743-4229 | 2005-10-31 |
| 1225032907 | Limon Doctors Committee | Family Medicine | 134 6th St, Hugo, CO 80828-0308 | 2005-06-09 |
| 1619970233 | John Earl Fox | Family Medicine | 111 6th St., Hugo, CO 80821-0248 | 2005-05-27 |
| 1548263049 | Mark R Olson | Family Medicine | 111 6th Street, Hugo, CO 80821 | 2005-05-27 |
| 1578188074 | Lincoln Community Hospital Gordon Family Practice | Family Medicine | 111 6th St, Hugo, CO 80821-2002 | 2020-06-10 |
| Find all providers in HUGO | ||||
Please comment or provide details below to improve the information on HEALTHEAST MEDICAL RESEARCH INSTITUTE.
| 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.