ANTHONY DE ANGELIS (NPI# 1780668897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780668897 |
| Entity Type | Individual |
| Full Name | ANTHONY DE ANGELIS |
| Practice Address |
3900 Park Nicollet Blvd St Louis Park MN 55416-2503 |
| Mailing Address |
6465 Wayzata Blvd Suite 315 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529933123 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 41374 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3900 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259395 | Ann Kolar Chinnakotla | Nurse Practitioner | 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 | 2005-07-21 |
| 1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
| 1194113217 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2014-12-23 |
| 1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
| 1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
| 1306170808 | Jason Davis | Physician Assistant | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2009-09-30 |
| 1972837706 | Laura J Heinmiller | Ophthalmology | 3900 Park Nicollet Blvd, Suite 230, St Louis Park, MN 55416-2503 | 2009-09-26 |
| 1134389463 | Hans S Grinager | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2008-06-10 |
| 1407974561 | Jonathan Pribila | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2007-03-27 |
| 1487668919 | David Warren Pederson | Podiatrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-07-28 |
| Find all providers in the same location | ||||
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248370 | Jane Nemecek | Plastic Surgery | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-01-03 |
| 1922086859 | Marie Christensen | Plastic Surgery | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2005-12-30 |
| 1720062946 | Mark Lovaas | Plastic Surgery | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574445 | Echelon Surgical Specialists LLC | Plastic Surgery | 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 | 2018-07-05 |
| 1104252022 | Bashioum Cosmetic Surgery Center, Ltd. | Plastic Surgery | 445 Lake St E Ste 210, Wayzata, MN 55391-1671 | 2013-09-24 |
| 1184994501 | James Jerome Diehl | Plastic Surgery | 10530 W Riverview Dr, Eden Prairie, MN 55347-4921 | 2012-01-02 |
| 1851690697 | Jason Dean Fowler | Plastic Surgery | 1420 London Rd Ste 101, Duluth, MN 55805-2437 | 2011-03-18 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1013151430 | Jennifer Ann Cameron | Plastic Surgery | 310 Smith Ave N Ste 330, Saint Paul, MN 55102 | 2009-04-29 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1447442702 | Sue-mi C Tuttle | Plastic Surgery | 401 Phalen Blvd-ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-08-10 |
| 1033314943 | Tracy So Kayan | Plastic Surgery | 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | ST 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.