DAVID RYAN ANDERSON (NPI# 1770690687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770690687 |
| Entity Type | Individual |
| Full Name | DAVID RYAN ANDERSON |
| Credential | MD |
| Practice Address |
4010 W 65th St Edina MN 55435-1706 |
| Mailing Address |
4200 Dahlberg Dr Suite 300 Golden Valley MN 55422-4840 |
| Practice Telephone | 9524567000 |
| Practice Fax Number | 9524567001 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
47392 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819875 | David Melville Anderson | Technician | 2558 S Anaheim St Apt 102, Aurora, CO 80014-1482 | 2020-07-27 |
| 1023645447 | David Allen Anderson | Nursing Care | 7746 Orchard Village Dr, Indianapolis, IN 46217-2907 | 2020-03-25 |
| 1467956615 | David Edward Anderson | Counselor | 4747 Arapahoe Ave Dept Case, Boulder, CO 80303-1131 | 2018-03-22 |
| 1548672702 | David Anderson | Dentist | 4207 W Electra Ln, Glendale, AZ 85310-5571 | 2014-05-22 |
| 1518390020 | David Anderson | Pharmacist | 3615 Gibraltar Dr, Reno, NV 89509-5617 | 2013-08-20 |
| 1518301217 | David Allen Anderson | Counselor | 13568 Sw 61st Ave, Suite 315, Portland, OR 97219-8132 | 2013-04-24 |
| 1316272636 | David Paul Anderson | Chiropractor | 10585 Scripps Poway Parkway, #c, San Diego, CA 92131 | 2009-10-05 |
| 1568695435 | David Robert Anderson II | Pharmacist | 202 Market St Ste J, Cramerton, NC 28032-1148 | 2009-08-26 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1396995247 | David Marshall Anderson | Psychologist | 101 E 56th St, New York, NY 10022 | 2008-09-29 |
| Street Address |
4010 W 65TH ST |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
| 1164029419 | Carli Marie Walker | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-08 |
| 1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
| 1922657501 | Chase William Hanson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-09-06 |
| 1427610120 | Megan Lee Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-07-02 |
| 1902384159 | Kathleen Ann Heimer | Occupational Therapist | 4010 W 65th St, Edina, MN 55435 | 2018-07-31 |
| 1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
| 1548761729 | Kaitlyn Ann Lindahl | Occupational Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2018-02-23 |
| 1386161552 | Breanna Nicole Smith | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2017-08-28 |
| 1891218095 | Christopher Andrew Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508156571 | Ryan Robert Fader | Orthopaedic Surgery | 8100 W 78th St Ste 225, Edina, MN 55439-2569 | 2011-04-12 |
| 1508099656 | Allina Health System | Orthopaedic Surgery | 8100 W 78th St Ste 230, Edina, MN 55439-2570 | 2009-08-24 |
| 1609097849 | William T. Simonet, Md,pa | Orthopaedic Surgery | 6600 France Ave S, Suite 605, Edina, MN 55435-1805 | 2007-05-02 |
| 1881815322 | Mark C Engasser M D P A | Orthopaedic Surgery | 6600 France Ave S, Suite 615, Edina, MN 55435-1807 | 2007-05-01 |
| 1124137302 | Joseph Thomas Teynor | Orthopaedic Surgery | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2006-08-30 |
| 1104839521 | Kayvon Scott Riggi | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-08-15 |
| 1710920277 | Mark Bevers Sigmond | Orthopaedic Surgery | 6600 France Ave S, Suite 605, Edina, MN 55435-1805 | 2006-06-13 |
| 1851330088 | William T Simonet | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2006-06-05 |
| 1417911884 | Mark Charles Engasser | Orthopaedic Surgery | 6600 France Ave S, Suite 615, Edina, MN 55435-1807 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388447 | Erik Therrien | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw Rochester Mn 55905, Rochester, MN 55905-0001 | 2020-08-30 |
| 1619950839 | Bradley James Nelson | Orthopaedic Surgery | 2512 S 7th St, Department of Orthopaedics, R200, Minneapolis, MN 55454-1404 | 2005-11-22 |
| 1902381148 | Richard Kyle Maciver Martin | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-10-02 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1821502154 | Michael Blake Jacob | Orthopaedic Surgery | 2855 Campus Dr, Plymouth, MN 55441-2649 | 2017-11-22 |
| 1386007417 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2016-04-05 |
| 1528438116 | Minnesota State University | Orthopaedic Surgery | 135 Myers Fieldhouse, Mankato, MN 56001-6171 | 2015-09-25 |
| 1851705057 | Jonathan James Harvey | Orthopaedic Surgery | 111 17th Ave E Ste 101, Alexandria, MN 56308-5274 | 2014-06-16 |
| 1861802019 | Adam Morgan Johannsen | Orthopaedic Surgery | 14000 Fairview Dr, Burnsville, MN 55337-5713 | 2014-04-28 |
| 1396056842 | Zachary Peter Arntson | Orthopaedic Surgery | 8540 Quaday Ave Ne, Otsego, MN 55330-6522 | 2010-06-30 |
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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.