CROWN MEDICAL CENTER (NPI# 1790747012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790747012 |
Entity Type | Organization |
Organization Name | CROWN MEDICAL CENTER |
Practice Address |
1925 1st Ave S Minneapolis MN 55403-3724 |
Practice Telephone | 6128714354 |
Practice Fax Number | 6126724343 |
Mailing Telephone | 6128714354 |
Mailing Fax Number | 6126724343 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CHIKE ONYEKABA (BUSINESS MANAGER) |
Authorized Official Telephone | 6128714354 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA | 0407266 | 01 |
MN | METROPOLITAN HEALTH PLAN | A044153 | 01 |
MN | UCARE | 136548 | 01 |
MN | HEALTHPARTNERS | 108584 | 01 |
MN | BLUES | 438R4CR | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093992810 | Crown Medical Center | Point of Service | 7001 78th Ave N, Brooklyn Park, MN 55445-2783 | 2008-01-23 |
1588916282 | Crown Medical Center | Nurse Practitioner | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2012-10-05 |
Street Address |
1925 1ST AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55403-3724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871034645 | Sarah Truso | Registered Nurse | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2017-03-13 |
1730546672 | Crown Medical Support Services | Clinic/Center | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2016-01-22 |
1588916282 | Crown Medical Center | Nurse Practitioner | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2012-10-05 |
1538342241 | Crown Home Health Inc | Skilled Nursing Facility | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2007-12-17 |
1053496778 | Jamen Margaret Parkey | Physician Assistant | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-10-25 |
1912947599 | Crown Medical Center Inc. | Clinic/Center | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-06-08 |
1720045271 | Joyce Ihioma Onyekaba | Family Medicine | 1925 1st Ave S, Minneapolis, MN 55403-3724 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508312174 | Afya Translation Corp | Interpreter | 1 E 19th Street, Suite 2, Minneapolis, MN 55403 | 2016-09-01 |
1891146692 | Alicia Kornacker | Doula | 1937 Aldrich Avenue South, Apt 12, Minneapolis, MN 55403 | 2016-06-23 |
1437506417 | Zahra Roble | Nurse Practitioner | 1801 Nicolllet Ave S, Minneapolis, MN 55403 | 2016-05-19 |
1063871259 | Vicky Smiley-turner | Counselor | 1523 Nicollet Ave. South, Minneapolis, MN 55403 | 2016-02-16 |
1326449026 | Lowry Hill Psychotherapy and Assessment Center | Psychologist | 1910 Hennepin Ave S, Minneapolis, MN 55403 | 2014-09-12 |
1285062372 | Cheryl Patterson | Marriage & Family Therapist | 1725 2nd Ave So, Minneapolis, MN 55403 | 2013-10-29 |
1598101156 | Sherri M Dunham | Counselor | 1200 S Marquette Ave, Minneapolis, MN 55403 | 2013-05-21 |
1831533173 | Laura Farley Young | Social Worker | 1925 Nicollet Ave S, Minneapolis, MN 55403 | 2013-04-17 |
1275801797 | Elizabeth Ann Hamer | Counselor | 1717/1725 2nd Ave. So., Minneapolis, MN 55403 | 2011-12-12 |
1679859185 | Accord Medical Inc | Durable Medical Equipment & Medical Supplies | 1815 Nicollet Ave, Minneapolis, MN 55403 | 2011-10-27 |
Find all providers in zip 55403 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
City | MINNEAPOLIS |
Zip Code | 55403 |
Please comment or provide details below to improve the information on CROWN MEDICAL CENTER.
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.