STEPHANIE DYKEMA (NPI# 1861904765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861904765 |
| Entity Type | Individual |
| Full Name | STEPHANIE DYKEMA |
| Practice Address |
6809 Sandlewood Rd Woodbury MN 55125-2175 |
| Practice Telephone | 7012602298 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
572405 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| Street Address |
6809 SANDLEWOOD RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386000305 | Flex Radiology PC | Radiology | 151 Bristol Dr, Woodbury, NY 11797-3114 | 2016-01-06 |
| 1386697423 | Minnesota Medical Scanning Corporation | Radiology | 8380 City Centre Drive, Ste 140, Woodbury, MN 55125 | 2006-05-18 |
| 1356320030 | Angeline A Young | Radiology | 3547 Crestmoor Dr, Woodbury, MN 55125-5028 | 2006-01-11 |
| 1205834561 | David Olian | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-07-11 |
| 1336162379 | Medical Scanning Consultants Pa | Radiology | 8380 City Centre Dr, Ste 140, Woodbury, MN 55125 | 2006-07-25 |
| 1760443519 | Samir S Tilak | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2006-03-31 |
| 1578555744 | Sherrill Little | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-08-16 |
| 1760483887 | Jayeshkumar Patel | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-08-10 |
| 1780685198 | Scott Mattox | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-08-09 |
| 1740281013 | Markus Whitley | Radiology | 748 Kings Hwy, Woodbury, NJ 08096-3157 | 2005-08-09 |
| Find all providers in WOODBURY | ||||
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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.