SCOTT R CORBETT (NPI# 1760564108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760564108 |
| Entity Type | Individual |
| Full Name | SCOTT R CORBETT |
| Credential | D.O. |
| Practice Address |
3601 Park Center Blvd Ste 308 Saint Louis Park MN 55416-2525 |
| Mailing Address |
8120 Penn Ave S Ste 440 Bloomington MN 55431-1326 |
| Practice Telephone | 9529200846 |
| Practice Fax Number | 9529200846 |
| Mailing Telephone | 9529200846 |
| Mailing Fax Number | 9529200846 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 41370 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS PROVIDER ID | 70D62CO | 01 | |
| MN | 003560200 | 05 |
| Street Address |
3601 PARK CENTER BLVD STE 308 |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821247610 | Stillpoint Osteopathic, Ltd. | Clinic/Center | 3601 Park Center Blvd Ste 308, Saint Louis Park, MN 55416-2525 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470462 | Between The Bridges Healing Center, LLC | Neuromusculoskeletal Medicine & OMM | 45 Teton Ln, Mankato, MN 56001-4814 | 2006-11-03 |
| 1740386176 | Jeffrey John Kotulski | Neuromusculoskeletal Medicine & OMM | 45 Teton Lane, Mankato, MN 56001 | 2006-09-15 |
| 1235166992 | Bryant Richard Beehler | Neuromusculoskeletal Medicine & OMM | 14133 Orchid St Nw, Andover, MN 55304-3283 | 2006-06-27 |
| 1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
| 1518445691 | University of Minnesota | Neuromusculoskeletal Medicine & OMM | 515 Delaware St. Se, Moos Tower, Room 13-129, Minneapolis, MN 55455 | 2018-08-01 |
| 1720333891 | Courtenay E Deane | Neuromusculoskeletal Medicine & OMM | 320 E Main St, Crosby, MN 56441-1645 | 2012-07-16 |
| 1841555984 | Timothy Sheneman | Neuromusculoskeletal Medicine & OMM | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2012-07-04 |
| 1710253752 | Wangcai Gao | Neuromusculoskeletal Medicine & OMM | 225 Smith Ave N #500, St Paul, MN 55102 | 2012-03-23 |
| 1184767204 | Joan F Dawson | Neuromusculoskeletal Medicine & OMM | 7300 France Ave So, Suite 405, Edina, MN 55435-4544 | 2007-02-15 |
| 1477645083 | Lisa Ellen Putney | Neuromusculoskeletal Medicine & OMM | 403 America Ave Nw, Bemidji, MN 56601-3122 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.