DR. ADRIANNE ROSE MALLEN (NPI# 1831535558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831535558 |
| Entity Type | Individual |
| Full Name | DR. ADRIANNE ROSE MALLEN |
| Credential | M.D. |
| Practice Address |
6500 Excelsior Blvd Saint Louis Park MN 55426-4702 |
| Practice Telephone | 9529933282 |
| Mailing Telephone | 9529933282 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
67172 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
6500 EXCELSIOR BLVD |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55426-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588014831 | Jessica Gore | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2016-06-17 |
| 1245664630 | Erin Elizabeth Lalley | Nurse Practitioner | 6500 Excelsior Blvd, Suite 4-820, Saint Louis Park, MN 55426-4702 | 2013-08-21 |
| 1447696760 | Gerri Lee Clements | Advanced Practice Midwife | 6500 Excelsior Blvd, Hvc 5th Floor, Saint Louis Park, MN 55426-4702 | 2013-05-14 |
| 1003196148 | Chelsey Marie Peters | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2011-08-21 |
| 1164757035 | Jennifer M Neist | Registered Nurse | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2009-10-12 |
| 1144490400 | Andrea Marie Kinzer | Occupational Therapist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2008-03-03 |
| 1306068150 | David Brokl | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-05-02 |
| 1659494342 | Jason Christopher Carvalho | Pathology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-04-09 |
| 1053439497 | Tina Patricia Lavin | Speech-Language Pathologist | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-03-26 |
| 1609912740 | Mariana J Canoniero | Internal Medicine | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2007-01-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356687255 | John E. Savage, M.d., P.a. | Obstetrics & Gynecology | 280 N Smith Ave, Suite 311, St Paul, MN 55102-2424 | 2012-12-20 |
| 1326204942 | Lori Weinberg | Obstetrics & Gynecology | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2008-08-03 |
| 1184732406 | Ebrahim Versi | Obstetrics & Gynecology | 6585 City West Pkwy, Eden Prairie, MN 55344-3248 | 2006-08-27 |
| 1013478775 | Kelly Jean Killian | Obstetrics & Gynecology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-03-26 |
| 1669825717 | Fiorella Enid Reyes Baez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-13 |
| 1629459961 | Rachel Mansfield Bramblet | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-12 |
| 1427445816 | Clarissa Polen-de | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-23 |
| 1639418452 | Lauren Thomaier | Obstetrics & Gynecology | 515 Delaware Street Se, 12th Floor Moos, Division of Gynecologic Oncology, Minneapolis, MN 55455 | 2013-02-14 |
| 1588922488 | Andrea Smiens O'shea | Obstetrics & Gynecology | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2012-04-27 |
| 1316251796 | Ismail Mert | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-07-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55426 |
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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.