NORTH UROLOGY, LTD. (NPI# 1730205113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730205113 |
| Entity Type | Organization |
| Organization Name | NORTH UROLOGY, LTD. |
| Practice Address |
4080 W Broadway Ave Suite #310 Robbinsdale MN 55422-5604 |
| Practice Telephone | 7635205888 |
| Practice Fax Number | 7635205955 |
| Mailing Telephone | 7635205888 |
| Mailing Fax Number | 7635205955 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MR. RAYMOND ALLEN HACKETT (PRESIDENT) |
| Authorized Official Telephone | 7635205888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 040181 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA CHOICE | 0001 | 01 | |
| MN | RAILROAD MEDICARE | CP8671 | 01 |
| BLUE CROSS BLUE SHIELD | 18063TW | 01 | |
| MN | 248645800 | 05 | |
| MEDICA PRIMARY | 0001 | 01 | |
| WI | 32722000 | 05 | |
| UCARE | 101378 | 01 | |
| HEALTHPARTNERS | 339 | 01 |
| Street Address |
4080 W BROADWAY AVE SUITE #310 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569232 | Healthplus Chiropractic | Chiropractor | 4080 W Broadway Ave, Ste 128, Robbinsdale, MN 55422-5605 | 2005-06-27 |
| 1427508035 | U.S. Healthworks Medical Group of Minnesota, PC | Preventive Medicine | 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 | 2016-10-06 |
| 1427482314 | Healthplus Chiropractic, P.a. | Chiropractor | 4080 W Broadway Ave, Suite 128, Robbinsdale, MN 55422-5604 | 2013-08-27 |
| 1700226503 | Jacob Aaron Cruze | Physical Therapist | 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 | 2013-06-26 |
| 1396007415 | Amy Kathleen Cole | Physical Therapist | 4080 W Broadway Ave, Suite 300, Robbinsdale, MN 55422-5604 | 2012-06-14 |
| 1801161427 | Family Focused Recovery Services Pllc | Substance Abuse Rehabilitation Facility | 4080 W Broadway Ave, Robbinsdale, MN 55422-5604 | 2012-03-14 |
| 1023394731 | Ian Michael Topping | Physical Therapist | 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422-5604 | 2011-10-26 |
| 1053649632 | Health Activation Services, Pllc | Clinic/Center | 4080 W Broadway Ave, #200, Robbinsdale, MN 55422-5604 | 2009-11-19 |
| 1285961144 | Sanford Alan Olevitch | Physical Therapist | 4080 W Broadway Ave, Robbinsdale, MN 55422-5604 | 2009-11-12 |
| 1295929735 | Megan Jean Opsahl | Physical Therapist | 4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528232774 | Urology Associates, Ltd. | Urology | 3366 Oakdale Ave N, Suite 608, Robbinsdale, MN 55422-2948 | 2008-04-18 |
| 1376658187 | Thomas J Stillwell | Urology | 3366 Oakdale Ave N, Suite 608, Robbinsdale, MN 55422-2948 | 2006-08-20 |
| 1316998834 | Joseph Charles Cerny Jr. | Urology | 3366 Oakdale Ave N, Suite 409, Robbinsdale, MN 55422-2948 | 2006-05-12 |
| 1477504876 | Neil Mcdevitt Skemp | Urology | 3366 Oakdale Ave N, Suite 409, Robbinsdale, MN 55422-2948 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
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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.