AMY NICOLE LEBEDOFF (NPI# 1841686573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841686573 |
| Entity Type | Individual |
| Full Name | AMY NICOLE LEBEDOFF |
| Other Name | AMY KOSEL |
| Credential | MD |
| Practice Address |
2525 Chicago Ave S Minneapolis MN 55404-4518 |
| Mailing Address |
4227 Nicollet Ave Apt 100 Minneapolis MN 55409-2058 |
| Practice Telephone | 6128137240 |
| Practice Fax Number | 6128136360 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
67478 | MN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 67478 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 345 Smith Ave N, Saint Paul, MN 551022346 | 6512206000 |
| Street Address |
2525 CHICAGO AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082639 | Timothy John Clune | Nurse Anesthetist, Certified Registered | 2525 Chicago Ave S, Minneapolis, MN 55404-4518 | 2005-06-08 |
| 1063929511 | Rachel Faust | Social Worker | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2018-01-05 |
| 1497166680 | Rosina M Hussain | Pediatrics | 2525 Chicago Ave S, Minneapolis, MN 55404-4518 | 2014-05-11 |
| 1912249038 | Kristen Suzanne Forseth | Nurse Practitioner | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2013-03-27 |
| 1285992354 | Joanna M Lowisz | Pediatrics | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2012-04-26 |
| 1790057636 | Martha Johanna Riad | Social Worker | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2012-02-08 |
| 1154612463 | Katharine Rae Lange | Pediatrics | 2525 Chicago Ave S, Minneapolis, MN 55404 | 2011-04-21 |
| 1396989166 | Kara Katherine Seaton | Pediatrics | 2525 Chicago Ave S, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404 | 2009-04-23 |
| 1104067867 | Danielle Patti Franklin | Registered Nurse | 2525 Chicago Ave S, Minneapolis, MN 55403 | 2009-03-10 |
| 1699921627 | Jason Bryan Mitchell | Radiology | 2525 Chicago Ave S, Childrens Hospitals and Clinics of Mn, Minneapolis, MN 55401 | 2008-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124432885 | Anjali Aggarwal | Medical Genetics | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-06-19 |
| 1104172584 | Noelle Andrea Ventura Fabie | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2012-08-03 |
| 1932429917 | Vikas Bhambhani | Medical Genetics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2010-06-01 |
| 1982742870 | Heidi Leigh Thorson | Medical Genetics | 800 E 28th St, Minneapolis, MN 55407-3723 | 2007-02-02 |
| 1588735005 | Chester B Whitley | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Room 4-100, Minneapolis, MN 55455 | 2006-11-13 |
| 1063449932 | Lawrence Richard Charnas | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-06-27 |
| 1982640264 | Susan Amelia Berry | Medical Genetics | University of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-06-22 |
| 1841287810 | Mary Ella M Pierpont | Medical Genetics | 2450 Riverside Ave, Explorer Clinic 12th Floor, Minneapolis, MN 55454-1450 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912044918 | Sandra Louise Hyvarinen Davenport | Medical Genetics | 6109 W 105th St, Bloomington, MN 55438-1833 | 2007-01-30 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1316595531 | Karthik Muthusamy | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2019-08-30 |
| 1376899203 | Eva Morava-kozicz | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-30 |
| 1568697829 | Pavel N. Pichurin | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-05-15 |
| 1114185154 | Marcelo Paul Vargas | Medical Genetics | Mayo Clinic, Rochester, MN 55905-0001 | 2008-05-27 |
| 1598964595 | Brendan Coe Lanpher | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-11 |
| 1154391555 | Virginia V Michels | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-26 |
| 1588634992 | Dusica Babovic-vuksanovic | Medical Genetics | 200 1st St Sw, Rochester, MN 55905 | 2006-01-26 |
| 1356321897 | Jay W Ellison | Medical Genetics | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on AMY NICOLE LEBEDOFF.
| 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.