JOHN R LIDDICOAT (NPI# 1750579694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750579694 |
| Entity Type | Individual |
| Full Name | JOHN R LIDDICOAT |
| Credential | M.D. |
| Practice Address |
7601 Northland Dr N Minneapolis MN 55428-4500 |
| Mailing Address |
2208 Oliver Ave S Minneapolis MN 55405-2441 |
| Practice Telephone | 7633607961 |
| Mailing Telephone | 7633607961 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 209670 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538372719 | John Ellery Liddicoat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7405 Boulder Creek Dr, Mckinney, TX 75070-5074 | 2007-05-07 |
| Street Address |
7601 NORTHLAND DR N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55428-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1821288929 | Judah A Askew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 400, Minneapolis, MN 55407-1286 | 2007-07-26 |
| 1205977634 | Bassam N. Shukrallah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St Ste 400, Minneapolis, MN 55407 | 2007-02-09 |
| 1427011352 | Vibhu R Kshettry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 610, Minneapolis, MN 55407-1190 | 2006-04-11 |
| 1730617713 | Vinayak Nilkanth Bapat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St # H2100, Minneapolis, MN 55407-3723 | 2017-06-02 |
| 1932423423 | Emily Rebecca Smeltzer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4040 Coon Rapids Blvd Nw Ste 120, Minneapolis, MN 55433-4568 | 2010-03-26 |
| 1437393113 | Matthew Soule | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 Delaware St Se, Mmc 207, Minneapolis, MN 55455-0341 | 2009-04-27 |
| 1548418759 | Gamal Mohamed Khalil Marey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-08-29 |
| 1487814273 | Karol Mudy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2008-06-15 |
| 1679796999 | Amit Bhargava | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 909 Fulton St Se, Minneapolis, MN 55455 | 2007-04-11 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55428 |
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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.