FALLS MEDICAL GROUP, PLLC (NPI# 1811518137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811518137 |
Entity Type | Organization |
Organization Name | FALLS MEDICAL GROUP, PLLC |
Practice Address |
1580 Highway 11-71 International Falls MN 56649 |
Practice Telephone | 2182832444 |
Mailing Telephone | 2182832444 |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-04-27 |
Authorized Official Name | DR. ERIC F. KOPERDA (PHYSICIAN) |
Authorized Official Telephone | 2182832444 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Falls.MD | Doing Business As Name - Organization |
Street Address |
1580 HIGHWAY 11-71 |
City | INTERNATIONAL FALLS |
State | MN |
Zip Code | 56649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275987851 | Shannon Hoshaw | Pharmacist | 1606 Highway 11-71, International Falls, MN 56649 | 2016-04-20 |
1033521729 | Thomas Lofgren | Pharmacist | 1606 Hwy 1171, International Falls, MN 56649 | 2014-05-29 |
1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
1538422894 | Eric Koperda | Family Medicine | 1801 2nd Ave W, Suite 435, International Falls, MN 56649 | 2012-06-21 |
1366752925 | Doreen Evonne Swendsen | Nurse Practitioner | 205 Third St, International Falls, MN 56649 | 2010-10-18 |
1639315096 | Jon M. Talsness | Preventive Medicine | 400 2nd St., Boise, Inc., International Falls, MN 56649 | 2009-01-06 |
1316034267 | Dean Christopher Cowman | Chiropractor | 501 3rd Street, Suite 100, International Falls, MN 56649 | 2006-10-10 |
1679668933 | Falls Advanced Chiropractic Center | Chiropractor | 1322 Third Street, Suite 4, International Falls, MN 56649 | 2006-10-04 |
1154356657 | E L Anderson City Drug Store | Pharmacy | 314 3rd St, International Falls, MN 56649 | 2006-07-12 |
1043270440 | Bradley Reiners | Physician Assistant | 2501 Keenan Drive, International Falls, MN 56649 | 2006-03-28 |
Find all providers in zip 56649 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841223708 | Douglas Allan Johnson | General Practice | 2501 Keenan Dr, International Falls, MN 56649-2181 | 2006-07-07 |
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1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
Find all providers with the same taxonomy |
City | INTERNATIONAL FALLS |
Zip Code | 56649 |
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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.