MARK D SBOROV (NPI# 1801865506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801865506 |
Entity Type | Individual |
Full Name | MARK D SBOROV |
Credential | M.D. |
Practice Address |
6545 France Ave S Suite #210 Edina MN 55435-2131 |
Mailing Address |
Minnesota Oncology 2550 University Ave W Saint Paul MN 55114-2001 |
Practice Telephone | 9529282900 |
Practice Fax Number | 9529282944 |
Mailing Telephone | 6516025311 |
Mailing Fax Number | 6512226786 |
Enumeration Date | 2006-03-15 |
Last Update Date | 2018-02-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
23282 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICA | 3600786 | 01 |
MN | PREFERREDONE | 0104002 | 01 |
MN | AMERICA'S PPO | 23298 | 01 |
WI | 31681700 | 05 | |
MN | HEALTHPARTNERS | HP14322 | 01 |
MN | UCARE MN | 103020 | 01 |
MN | 405387700 | 05 | |
MN | BLUE CROSS BLUE SHIELD MN | 8T411SB | 01 |
Street Address |
6545 FRANCE AVE S SUITE #210 |
City | EDINA |
State | MN |
Zip Code | 55435-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
1952847741 | Kc Core Mn Pllc | Chiropractor | 6545 France Ave S, Suite 301, Edina, MN 55435-2131 | 2017-01-17 |
1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
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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 |
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Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194784207 | Eric L Weinshel | Internal Medicine | 6545 France Ave S, Ste 210, Edina, MN 55435-2281 | 2006-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093160368 | Lee Newcomer | Internal Medicine | 15011 Woods Edge, Minnetonka, MN 55345-2900 | 2016-04-25 |
1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
1043423437 | Alexander A Levitan | Internal Medicine | 2051 Long Lake Road, New Brighton, MN 55112-5166 | 2007-05-08 |
1972690113 | Gail P. Bender, M.d.,p.a. | Internal Medicine | 6490 Excelsior Blvd Ste W106, St Louis Park, MN 55426-4741 | 2006-10-09 |
1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
1255300885 | Nicole L Hartung | Internal Medicine | 110105 Pioneer Trl W Ste 302, Chaska, MN 55318-2680 | 2006-03-16 |
1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
1346213097 | Bret Edward Buckley Friday | Internal Medicine | 400 East 3rd St, Duluth, MN 55805 | 2006-02-10 |
1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
1205827466 | Mark D Hauge | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2005-11-04 |
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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.