RIDGEVIEW CLINICS (NPI# 1770726671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770726671 |
| Entity Type | Organization |
| Organization Name | RIDGEVIEW CLINICS |
| Practice Address |
490 S Maple St Suite 204 Waconia MN 55387-1760 |
| Practice Telephone | 9524422191 |
| Mailing Telephone | 9524422191 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MS. KRISTI A BESSE (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9524427895 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
22924 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1659389310 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1366629461 | Ridgeview Clinics | Otolaryngology | 223 N Carver St, Winthrop, MN 55396 | 2008-01-31 |
| 1376748400 | Ridgeview Clinics | Physician Assistant | 611 E Fairview St, Olivia, MN 56277-4213 | 2007-06-19 |
| 1467606236 | Ridgeview Clinics | Otolaryngology | 6060 Clearwater Dr, Minnetonka, MN 55343-9442 | 2008-11-06 |
| 1891972907 | Ridgeview Clinics | Otolaryngology | 601 W Chandler St, Arlington, MN 55307-2127 | 2008-01-31 |
| 1346427457 | Ridgeview Clinics | Internal Medicine | 424 W State Highway 5, Waconia, MN 55387-1723 | 2008-01-31 |
| 1770774317 | Ridgeview Clinics | Surgery | 204 Lewis Ave S, Watertown, MN 55388-4500 | 2007-08-08 |
| 1396940052 | Ridgeview Clinics | Physician Assistant | 675 Water St, Excelsior, MN 55331-3063 | 2007-06-20 |
| 1306041066 | Ridgeview Clinics | Physician Assistant | 4695 Shoreline Dr, Spring Park, MN 55384-9715 | 2007-06-20 |
| 1215132972 | Ridgeview Clinics | Physician Assistant | 916 Saint Peter St, Delano, MN 55328-2813 | 2007-06-20 |
| Street Address |
490 S MAPLE ST SUITE 204 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789053 | Paul W Sperduto | Radiology | 490 S Maple St, # 117, Waconia, MN 55387-1760 | 2005-09-02 |
| 1346682473 | Roxy Exner | Nurse Practitioner | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2013-07-17 |
| 1891969044 | Urology Associates, Ltd. | Urology | 490 S Maple St, Suite 204, Waconia, MN 55387-1760 | 2008-04-18 |
| 1225249881 | Ridgeview Clinics | Internal Medicine | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2007-05-25 |
| 1912015942 | John W Meccia | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
| 1497863401 | John W Larsen | Otolaryngology | 490 S Maple St, Suite 205, Waconia, MN 55387-1760 | 2006-08-29 |
| 1548225402 | Western Orthopaedic & Sports Medicine Consultants, P.a. | Specialist | 490 S Maple St, Waconia, MN 55387-1760 | 2006-04-20 |
| 1033173331 | Total Renal Care Inc | Clinic/Center | 490 S Maple St, Suite 110, Waconia, MN 55387-1760 | 2006-04-13 |
| 1184691826 | Ravi Vaela | Internal Medicine | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225249881 | Ridgeview Clinics | Internal Medicine | 490 S Maple St, Suite 216, Waconia, MN 55387-1760 | 2007-05-25 |
| 1922076686 | Martin S Blumenreich | Internal Medicine | 560 S Maple St, Suite 100, Waconia, MN 55387-1733 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
| 1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
| 1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
| 1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
| 1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
| 1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
| 1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
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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.