PEDIATRIC AND YOUNG ADULT CARE (NPI# 1740396910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740396910 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND YOUNG ADULT CARE |
| Practice Address |
706 South Division St Northfield MN 55057-2427 |
| Practice Telephone | 5076459534 |
| Practice Fax Number | 5076458307 |
| Mailing Telephone | 5076459534 |
| Mailing Fax Number | 5076458307 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KRISTINE GAYLE MATSON (OWNER) |
| Authorized Official Telephone | 5076459543 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30822 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
706 SOUTH DIVISION ST |
| City | NORTHFIELD |
| State | MN |
| Zip Code | 55057-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750322 | Rebecca Brooks Amundson | Marriage & Family Therapist | 570 Professional Drive, Northfield, MN 55057 | 2019-06-25 |
| 1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
| 1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
| 1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
| 1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
| 1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
| 1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
| 1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
| Find all providers in zip 55057 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710958624 | Padma Mandalapu | Pediatrics | 2322 New Rd, Northfield, NJ 08225-1440 | 2006-01-30 |
| 1316328172 | Amy Kraushaar | Pediatrics | 2000 North Ave, Northfield, MN 55057-1498 | 2015-06-17 |
| 1891940607 | Oak Tree Pediatrics | Pediatrics | 1601 Tilton Rd, Northfield, NJ 08225-1877 | 2008-11-20 |
| 1144481821 | Benjamin J. Flannery | Pediatrics | 2000 North Ave, Northfield, MN 55057-4854 | 2008-06-24 |
| 1528191855 | Todd Edward Amunrud | Pediatrics | 2000 North Ave, Northfield, MN 55057-1498 | 2007-03-14 |
| 1073681052 | Alexandria Campbell Kalina | Pediatrics | 2000 North Ave, Northfield, MN 55057-1498 | 2006-11-30 |
| 1225088917 | Quality Care Pediatrics, LLC. | Pediatrics | 1750 Zion Rd, Suite 204, Northfield, NJ 08225-1844 | 2006-05-11 |
| 1457314692 | Heidi Anne Skundberg Kram | Pediatrics | 1400 Jefferson Rd, Northfield, MN 55057-3081 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1487009817 | Kalli Amber Hess | Pediatrics | 111 Hundertmark Rd #420, Chaska, MN 55318-1459 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTHFIELD |
| Zip Code | 55057 |
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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.