SIPPLE MEDICAL LLC (NPI# 1861866816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861866816 |
| Entity Type | Organization |
| Organization Name | SIPPLE MEDICAL LLC |
| Practice Address |
2020 E 28th St Suite 100 Minneapolis MN 55407-1394 |
| Mailing Address |
2012 Princeton Ave Saint Paul MN 55105-1527 |
| Practice Telephone | 6127287000 |
| Mailing Telephone | 6153831055 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | DR. DANIEL SIPPLE (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9522248500 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2020 E 28TH ST SUITE 100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285085 | Chrystian Reynaldo Pereira | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2005-12-13 |
| 1003427956 | Ehren Greer Emter | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-08-13 |
| 1164041851 | Ann Nagle | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-04-13 |
| 1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
| 1093377756 | David Bunch | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-07-02 |
| 1659937944 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-05-13 |
| 1700345881 | Jacquelyn Cameron | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-03-18 |
| 1316439383 | Sara Massey | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407 | 2018-06-05 |
| 1134616485 | Kristin Schwacha | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2018-04-21 |
| 1720513880 | Elizabeth Ellingwood Rowe | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Suite 104, Minneapolis, MN 55407-1394 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194259978 | Allina Health System | Physical Medicine & Rehabilitation | 913 E 26th St, Ste 503, Minneapolis, MN 55404-4515 | 2017-04-18 |
| 1063842243 | Pain & Injury Center Pllc | Physical Medicine & Rehabilitation | 825 Nicollet Mall, Suite #1453, Minneapolis, MN 55402-2606 | 2013-11-25 |
| 1932427606 | Carlton Ross Kimmerle | Physical Medicine & Rehabilitation | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2010-05-05 |
| 1336103951 | Matthew R Monsein | Physical Medicine & Rehabilitation | 920 E 28th St, Minneapolis Heart Institute, Minneapolis, MN 55407-1139 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774665 | Matthew James Timp | Physical Medicine & Rehabilitation | 2300 24th St Nw Ste 101, Bemidji, MN 56601-6656 | 2011-05-10 |
| 1679863773 | Pain Relief and Wellness of Minnesota | Physical Medicine & Rehabilitation | 4721 Clark Ave, White Bear Lake, MN 55110-3221 | 2011-04-11 |
| 1407174790 | Catherine Y Choi | Physical Medicine & Rehabilitation | 3580 Arcade Ste Ste 100, Vadnais Heights, MN 55127-7135 | 2010-05-11 |
| 1073788519 | Isaac Thomas Marsolek | Physical Medicine & Rehabilitation | 401 Phalen Blved, St Paul, MN 55130-5302 | 2008-04-25 |
| 1457325540 | Adam J Locketz | Physical Medicine & Rehabilitation | 7275 147th St W, Apple Valley, MN 55124-7808 | 2006-02-15 |
| 1548253933 | Advanced Spine Associates Pa | Physical Medicine & Rehabilitation | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2005-08-31 |
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1184044067 | Sakshi Kaul | Physical Medicine & Rehabilitation | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2014-04-18 |
| 1366886566 | Arcade Pain Center, P.l.l.c. | Physical Medicine & Rehabilitation | 651 Arcade St, Saint Paul, MN 55106-4518 | 2013-04-18 |
| 1548604846 | Kerri Wing-hun Chung | Physical Medicine & Rehabilitation | 295 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.