DR. SHAWN MICHAEL ALDERMAN (NPI# 1760498414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760498414 |
| Entity Type | Individual |
| Full Name | DR. SHAWN MICHAEL ALDERMAN |
| Credential | MD |
| Practice Address |
14500 99th Ave N Ste 100 Maple Grove MN 55369-5349 |
| Mailing Address |
650 Joel Drive, Attn: 5th Sfg Surgeon Blanchfield Army Community Hospital Ft. Campbell KY 42223-5349 |
| Practice Telephone | 7638981000 |
| Mailing Telephone | 2707988400 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39340 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Joel Drive, Attn: 5th Sfg Surgeon, Blanchfield Army Community Hospital, Ft. Campbell, KY 422235349 | 2707988400 |
| Street Address |
14500 99TH AVE N STE 100 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589680 | Meredith Stallone | Optometrist | 14500 99th Ave N Ste 100, Maple Grove, MN 55369-4738 | 2018-05-28 |
| 1073855367 | Kristin Marie Mcbeath | Internal Medicine | 14500 99th Ave N Ste 100, Maple Grove, MN 55369-4738 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1205852480 | Pamela Kolacz | Family Medicine | 6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 | 2006-07-14 |
| 1568453926 | David C Sandell | Family Medicine | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2005-11-03 |
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1609429646 | Twin Towers, Inc. | Family Medicine | 13700 Reimer Dr N Ste 220, Maple Grove, MN 55311-4548 | 2019-07-18 |
| 1396256392 | Jessica Idahor | Family Medicine | 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 | 2017-10-17 |
| 1841722469 | Brynne Rainier Wilson Latterell | Family Medicine | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2017-04-02 |
| 1114153368 | Moushumi Meher | Family Medicine | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2009-06-02 |
| 1417123696 | Anshu Sharma | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2008-05-07 |
| 1558469858 | John Leighton | Family Medicine | 9825 Hospital Dr, Suite 125, Maple Grove, MN 55369-4479 | 2006-09-20 |
| 1508962440 | Hynatu L Williamson | Family Medicine | 12000 Elm Creek Blvd N, #140, Maple Grove, MN 55369-7073 | 2006-09-16 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.