BRADY DUANE BAARTMAN


Address: 6500 Excelsior Blvd, St Louis Park, MN 55426-4702
Phone: 9529931000

BRADY DUANE BAARTMAN (NPI# 1780979104) 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) 1780979104
Entity Type Individual
Full Name BRADY DUANE BAARTMAN
Credential PA-C
Practice Address 6500 Excelsior Blvd
St Louis Park
MN 55426-4702
Practice Telephone 9529931000
Practice Fax Number 9529931000
Mailing Telephone 9529931000
Mailing Fax Number 9529931000
Enumeration Date 2011-06-14
Last Update Date 2018-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1563 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8100 Northland Dr, Bloomington, MN 554314800 9528311826
8290 University Ave Ne, Suite 200, Fridley, MN 554321847 7637869543 7637863320

Office Location

Street Address 6500 EXCELSIOR BLVD
City ST LOUIS PARK
State MN
Zip Code 55426-4702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861484669 Robert E Haselow Radiology 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 2005-08-17
1215549381 Katelyn Boys Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-08-20
1386253466 Christine Harlander Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-24
1063021210 Ian-thomas Campbell-groen Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-23
1619585387 Kelly Faber Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-07-20
1952938821 Paige Rygg Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-03-23
1801427406 Brandi Jo St. Mane Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-02-01
1811528680 Brian Servey IIi Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-01-30
1245873421 Weston Poucher Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-10-21
1427609973 Lauren Damrow Registered Nurse 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821657545 Big Brain Concussion Recovery & Chiropractic Pa Chiropractor 3313 Republic Ave., St. Louis Park, MN 55426 2019-06-06
1912485095 Daniel Raies Optometrist 8900 Minnesota 7, St Louis Park, MN 55426 2018-08-01
1649756040 Wayside House, Inc. Clinic/Center 1349 Jersey Ave S, St. Louis Park, MN 55426 2018-07-18
1104302884 Superior Caregivers, LLC In Home Supportive Care 1319 Lancaster Ave., St. Louis Park, MN 55426 2018-07-16
1396234266 Caitlin Kwiatkowski Behavior Technician 7010 Mn-7, St.louis Park, MN 55426 2018-05-07
1497244313 Kelly Ann Clancey Behavior Technician 7010 Highway 2, Saint Louis Park, MN 55426 2018-05-07
1770072696 Ashleigh Hakala Behavior Technician 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 2018-05-07
1689181521 Glenda Miles Registered Nurse 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 2017-12-31
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1447775549 Belinda Sue Bliss Marriage & Family Therapist 3301 Decatur Lane, Saint Louis Park, MN 55426 2017-08-09
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699254490 Lisa Ruff Physician Assistant 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2018-08-13
1972037059 Gregory Allen Physician Assistant 5775 Wayzata Blvd Ste 140, St Louis Park, MN 55416-2660 2017-04-17
1386184844 Melissa Shelendich Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2017-03-03
1124578620 Sarah Savengseuksa Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2016-10-07
1023168432 Lucia F Pierson Physician Assistant 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 2007-01-11
1730166729 James N Cavallaro Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2005-12-29
1982680690 Angela Woyno Physician Assistant 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2005-12-15
1144205220 Jeremy Lane Jr. Physician Assistant 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2005-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194120204 Nathan C Clapper Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2014-10-31
1003180555 Elizabeth K Saterenzoller Physician Assistant 1015 Marsh Street, Mankato, MN 56002-8673 2012-03-01
1477824472 Andrea Jo Pitzl Physician Assistant 3208 36th Ave Ne, St Anthony, MN 55418-1713 2012-01-23
1447560693 Jeanine Marie Edstrom Physician Assistant 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 2010-10-20
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1194042390 Gerald Frederick Anderson Physician Assistant 4060 Haines Rd, #104, Duluth, MN 55811-1746 2010-04-27
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1790922755 Jenelle Cecilia Rock Physician Assistant 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 2009-01-13
1174775514 Nathan J Nistler Physician Assistant 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 2008-10-16
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Competitor

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City ST LOUIS PARK
Zip Code 55426

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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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