MINNESOTA ONCOLOGY HEMATOLOGY, PA


Address: 1580 Beam Ave, Saint Paul, MN 55109-1127
Phone: 6517797978

MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI# 1770123697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770123697
Entity Type Organization
Organization Name MINNESOTA ONCOLOGY HEMATOLOGY, PA
Practice Address 1580 Beam Ave
Saint Paul
MN 55109-1127
Mailing Address 2550 University Ave W Ste 110n
Saint Paul
MN 55114-2001
Practice Telephone 6517797978
Practice Fax Number 6517797656
Mailing Telephone 6516025335
Mailing Fax Number 6516659799
Enumeration Date 2020-01-08
Last Update Date 2020-01-08
Authorized Official Name JOAN LOUISE THEIS (BUSINESS OFFICE MANAGER)
Authorized Official Telephone 6516025326
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1598305427 Minnesota Oncology Hematology, Pa Radiology 345 Sherman St Ste 100, Saint Paul, MN 55102-2401 2020-01-08
1114430089 Minnesota Oncology Hematology, Pa Internal Medicine 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 2017-11-14
1881130417 Minnesota Oncology Hematology, Pa Internal Medicine 601 W Chandler St, Arlington, MN 55307-2127 2017-01-06
1619111705 Minnesota Oncology Hematology, Pa Dietitian, Registered 11850 Blackfoot Nw, Suite 100, Coon Rapids, MN 55433-2569 2009-04-21
1356585442 Minnesota Oncology Hematology, Pa Internal Medicine 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432 2009-04-21
1447409834 Minnesota Oncology Hematology, Pa Obstetrics & Gynecology 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 2008-09-10
1851569909 Minnesota Oncology Hematology, Pa Physician Assistant 6363 France Ave S, Suite 200, Edina, MN 55435-2129 2008-02-12
1609911205 Minnesota Oncology Hematology, Pa Dietitian, Registered 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 2007-02-21
1447394424 Minnesota Oncology Hematology, Pa Dietitian, Registered 560 S Maple St, Suite 100, Waconia, MN 55387-1760 2007-02-16
1467595868 Minnesota Oncology Hematology, Pa Nurse Practitioner 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6749 2007-02-15

Office Location

Street Address 1580 BEAM AVE
City SAINT PAUL
State MN
Zip Code 55109-1127

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063828 Jodi May Begordis Registered Nurse 2586 7th Ave East, Suite 302, North St Paul, MN 55109 2020-05-06
1467917146 Alejandro Diez Freire Social Worker 2468 Germain St, Maplewood, MN 55109 2019-02-06
1679099667 Rochelle Marie Clarke Registered Nurse 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 2017-08-21
1497298210 Salams Care Residential, LLC Home Health 2240 Ide Ct, Maplewood, MN 55109 2016-11-28
1093199630 Garry Allen Psychologist 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 2015-07-14
1700264751 Matthew Seng Thao Student in an Organized Health Care Education/Training Program 1470 Gervais Ave, Maplewood, MN 55109 2015-05-11
1326458340 Chong Chang Counselor 1705 Cope Ave E Ste I, Maplewood, MN 55109 2014-04-29
1619396488 Leah Anne Downey Occupational Therapist 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 2014-04-09
1356765440 Group Health Plan, Inc Clinic/Center 2520 12th Ave E, North St Paul, MN 55109 2014-02-10
1336560275 Veneman Dental Care, Pa Dentist 1774 Cope Ave, Suite 110, Maplewood, MN 55109 2013-12-19
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124082136 Janel A Cox Radiology 631 Goodrich Ave, Saint Paul, MN 55105-3522 2006-04-14
1598305427 Minnesota Oncology Hematology, Pa Radiology 345 Sherman St Ste 100, Saint Paul, MN 55102-2401 2020-01-08
1396181731 Ryan Schaefer Youland Radiology 345 Sherman St Ste 100, Saint Paul, MN 55102 2013-05-13
1841466026 Charles Raymond Shideman Radiology 640 Jackson St, Saint Paul, MN 55101-2502 2008-05-07
1114978335 Kathryn E. Farniok Radiology 345 Sherman St, Saint Paul, MN 55102-2401 2006-05-12
1588633838 Mark A Palmer Radiology 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 2006-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669031423 Kai Jiang Radiology 617 4th St Sw Apt 3, Rochester, MN 55902-3286 2019-06-06
1508205311 Somu Suppiah Radiology 6500 Excelsior Blvd Dept Of, St Louis Park, MN 55426 2013-06-14
1063858769 Sumit Sean Sood Radiology 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 2013-05-21
1831535863 Megan Gentry Hodges Radiology 1900 Centracare Circle #1600, Centracare Clinic Health Plaza Radiology/oncology, St Cloud, MN 56303-5000 2013-05-16
1679838403 Richard Lee Radiology 701 Park Ave # G1, Minneapolis, MN 55415-1623 2012-07-09
1396909404 James Lee Ecker Radiology 10448 Vera Cruz Dr N, Brooklyn Park, MN 55443-2555 2008-07-17
1275627820 Xin Wang Radiology The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 2006-10-03
1295759009 Gregory Evan Meyers Radiology 6950 France Ave S Ste 200, Edina, MN 55435-2025 2006-07-26
1770526188 Nathan Earl Hilton Radiology 215 Ivy St, Brainerd, MN 56401-3000 2006-06-14
1952378044 Ellen E Bellairs Radiology 1580 Beam Ave, Maplewood, MN 55109-1127 2006-03-07
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Competitor

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City SAINT PAUL
Zip Code 55109

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Dataset Information

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.

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