DAVID E FUGLESTAD (NPI# 1750478319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750478319 |
| Entity Type | Individual |
| Full Name | DAVID E FUGLESTAD |
| Credential | M.D. |
| Practice Address |
8559 Edinbrook Pkwy Ste 100 Brooklyn Park MN 55443-3747 |
| Practice Telephone | 7634251888 |
| Mailing Telephone | 7634251888 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33521 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
8559 EDINBROOK PKWY STE 100 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811923097 | North Memorial Health Care | Clinic/Center | 8559 Edinbrook Pkwy, Suite 100, Brooklyn Park, MN 55443-3728 | 2006-06-23 |
| 1235372731 | Tyler Steven Kettelkamp | Specialist/Technologist | 8559 Edinbrook Pkwy, 104, Brooklyn Park, MN 55443-3747 | 2009-04-14 |
| 1659432664 | Michael Wayne Johnson | Dentist | 8559 Edinbrook Pkwy, Brooklyn Park, MN 55443-3747 | 2006-12-13 |
| 1851450837 | Clarice Ione Hermunslie | Dentist | 8559 Edinbrook Pkwy, Brooklyn Park, MN 55443-3747 | 2006-12-06 |
| 1376602466 | Monica Manoranjin Alley | Dentist | 8559 Edinbrook Pkwy, Brooklyn Park, MN 55443-3747 | 2006-12-06 |
| 1730247321 | Pdg,p.a. | Dentist | 8559 Edinbrook Pkwy, Brooklyn Park, MN 55443-3747 | 2006-12-05 |
| 1306935309 | Rosalynn Torralba | Family Medicine | 8559 Edinbrook Pkwy, Suite 100, Brooklyn Park, MN 55443-3747 | 2006-10-11 |
| 1972690550 | Joseph J Sicora | Family Medicine | 8559 Edinbrook Pkwy, Ste 100, Brooklyn Park, MN 55443-3747 | 2006-10-06 |
| 1649367210 | Ibrahim A Mujir | Family Medicine | 8559 Edinbrook Pkwy, Ste 100, Brooklyn Park, MN 55443-3747 | 2006-10-06 |
| 1992892541 | April L Fitzloff | Physician Assistant | 8559 Edinbrook Pkwy, Ste 100, Brooklyn Park, MN 55443-3747 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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 |
|---|---|---|---|---|
| 1932178480 | Bruce William Young | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2006-03-16 |
| 1720466220 | Minelva Romelia Nanton | Family Medicine | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2015-05-15 |
| 1760827463 | Emily Marie Kidd | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2013-05-08 |
| 1851651483 | Zachary Ely Taylor | Family Medicine | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2012-05-16 |
| 1295025716 | Rachael Olivia Long | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2011-04-18 |
| 1023277837 | Julie A Dejong | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2008-06-06 |
| 1063688513 | Suhair Hamid Osman Burhan | Family Medicine | 7650 Zane Ave N, Brooklyn Park Clinic, Brooklyn Park, MN 55443-3151 | 2008-05-05 |
| 1235258690 | Nam M Ho | Family Medicine | 10000 Zane Ave N, Fairview-brooklyn Park Clinic, Brooklyn Park, MN 55443 | 2007-03-28 |
| 1366569782 | Zenith Medical Clinic | Family Medicine | 6800 78th Ave N, Suite 110, Brooklyn Park, MN 55445-2758 | 2007-03-22 |
| 1538216148 | Shantel Shavon Branch-fleming | Family Medicine | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2007-01-04 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.