GARY L OFTEDAHL


Address: 8100 34th Ave S, C O Physician Services, Minneapolis, MN 55440-1309
Phone: 9528835790

GARY L OFTEDAHL (NPI# 1770551483) 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) 1770551483
Entity Type Individual
Full Name GARY L OFTEDAHL
Credential MD
Practice Address 8100 34th Ave S
C O Physician Services
Minneapolis
MN 55440-1309
Mailing Address 8100 34th Ave S
21110q
Bloomington
MN 55425-1672
Practice Telephone 9528835790
Practice Fax Number 9528835395
Mailing Telephone 9528835790
Mailing Fax Number 9528835395
Enumeration Date 2006-03-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 22583 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 8100 34TH AVE S
C O PHYSICIAN SERVICES
City MINNEAPOLIS
State MN
Zip Code 55440-1309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760503478 Group Health Plan Inc Dentist 8100 34th Ave S, Minneapolis, MN 55425 2007-04-02
1548229354 Terry W Crowson Internal Medicine 8100 34th Ave S, Physician Services, Minneapolis, MN 55440-1309 2006-03-21
1922076066 Evelyn J Welsh Nurse Practitioner 8100 34th Ave S, C/o Physician Services, Minneapolis, MN 55440-1309 2006-03-14
1609844844 Primepares G Pal Internal Medicine 8100 34th Ave S, Minneapolis, MN 55440-1309 2006-03-14
1083682173 Michael Bernard Koopmeiners Family Medicine 8100 34th Ave S, Minneapolis, MN 55440-1309 2006-03-14
1891764759 Donn Gordon Mosser Jr. Internal Medicine 8100 34th Ave S, C/o Physician Services, Minneapolis, MN 55440-1309 2006-03-14
1720056435 Patrick J O Connor Family Medicine 8100 34th Ave S, Physician Services, Minneapolis, MN 55440-1309 2006-03-09
1538136627 Mustafa M Aksoy Obstetrics & Gynecology 8100 34th Ave S, Physician Services, Minneapolis, MN 55440-1309 2006-03-07
1659366755 Lisbeth Ann Moyer Pharmacist 8100 34th Ave S, Minneapolis, MN 55440-1309 2005-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144280280 Connie S Baumgard Nurse Practitioner Mr 10809, Minneapolis, MN 55440-0043 2006-03-24
1134362809 Maren Flynn Obstetrics & Gynecology 8170 33rd. Avenue South, Ms21110q, Minneapolis, MN 55440-1309 2009-04-10
1760644934 Ayman Ali Family Medicine 8600 Nicollet Ave S - Ms 31500a, Healthpartners Bloomington Clinic, Bloomington, MN 55440-1309 2008-06-30
1952572778 Jeri L Dentz Advanced Practice Midwife 8170 33rd Ave S, C/o Physician Services, Ms 21110q, Healthpartners Floating Clinic, Minneapolis, MN 55440-1309 2008-03-19
1154504678 Jana M Dahn Nurse Practitioner 8170 33rd Ave S - Ms 21110q, Healthpartners Floating Clinic C/o Phyisician Services, Minneapolis, MN 55440-1309 2007-12-06
1649239245 Michael R Kinnan Family Medicine 8100 34th Avenue S, Attn Physician Services, Minneapolis, MN 55440-1309 2006-03-22
1417929670 Myriah M Hanno Obstetrics & Gynecology 8600 Nicollet Ave S - Mail Stop 31500a, Healthpartners Bloomington Clinic, Bloomington, MN 55440-1309 2006-02-02
1871595421 Lisa Mae Rupert Nurse Practitioner 8170 33rd Ave S Ms 21110q, Healthpartners Floating Clinic C/o Physician Services, Minneapolis, MN 55440-1309 2005-08-12
1659691673 Katie L Pehl Advanced Practice Midwife 8170 33rd Ave S - Ms 21110q, Healthpartners Floating Clinic C/o Physicians Services, Minneapolis, MN 55440-1309 2010-06-02
1881813434 Michael S Floyd Internal Medicine 8600 Nicollet Ave S - Mail Stop 31500a, Healthpartners Bloomington Clinic, Bloomington, MN 55440-1309 2007-04-24
Find all providers in zip 55440

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861032054 David Gregg Internal Medicine 5305 Humboldt Ave S, Minneapolis, MN 55419 2020-01-15
1316454077 Independent Medical Clinic Pa Internal Medicine 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 2018-01-03
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1841650306 Megan Mcgovern Internal Medicine 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 2016-02-26
1700266079 Jacob Wagner Internal Medicine D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 2015-06-02
1659750503 Melissa Ann Plesac Internal Medicine 500 Harvard St Se # 741, Minneapolis, MN 55455 2015-05-26
1033503040 Elizabeth Stanton Teter Aby Internal Medicine 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 2015-03-27
1780002592 Annie M Jacobsen Internal Medicine 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 2014-03-31
1386066173 Michael Usher Internal Medicine 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 2014-01-13
1356684609 Anteneh Girma Zewde Internal Medicine 87 Orlin Ave Se, Minneapolis, MN 55414-3560 2013-04-04
Find all providers in MINNEAPOLIS

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City MINNEAPOLIS
Zip Code 55440

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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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