AMS MAPLE GROVE LLC (NPI# 1871913582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871913582 |
| Entity Type | Organization |
| Organization Name | AMS MAPLE GROVE LLC |
| Practice Address |
13601 80th Cir N Ste 100 Maple Grove MN 55369-8999 |
| Mailing Address |
6094 14th St W Ste 135 Bradenton FL 34207-4104 |
| Practice Telephone | 8778226281 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413601566 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | DAVID SIMPSON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
13601 80TH CIR N STE 100 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-8999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316058605 | Phillip John Detlefsen | Chiropractor | 13601 80th Cir N, Suite L70, Maple Grove, MN 55369-8999 | 2006-08-31 |
| 1326164773 | Great Lakes Chiropractic LLC | Chiropractor | 13601 80th Cir N, Suite 210, Maple Grove, MN 55369-8999 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356526693 | Dustin Robert Ward | Anesthesiology | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | 2008-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487384 | Barbara Elfstrom | Anesthesiology | 4432 Hodgson Rd, Shoreview, MN 55126-1922 | 2019-10-01 |
| 1194371427 | Metropolitan Anesthesia Consultants, LLC | Anesthesiology | 111 Hundertmark Rd Ste 460, Chaska, MN 55318-1461 | 2019-08-13 |
| 1700248861 | Ryan Ross Childs | Anesthesiology | 500 Se Harvard St, University of Minnesota Medical Center - East Bank, Minneapolis, MN 55455-0363 | 2016-03-27 |
| 1083079750 | Community Anesthesia Professionals Pllc | Anesthesiology | 2550 University Avenue, Suite 423 South, St Paul, MN 55114-1904 | 2015-12-23 |
| 1902295918 | Edwin Joseph Dasso | Anesthesiology | 6491 Pipewood Curv, Excelsior, MN 55331-7702 | 2015-01-14 |
| 1689924631 | Judith Mw Meisner | Anesthesiology | 4647 Woodridge Rd, Minnetonka, MN 55345-3938 | 2012-09-18 |
| 1760783799 | Eric Paul Jahn | Anesthesiology | 16204 Ice Circle Dr, Wayzata, MN 55391-2322 | 2010-11-08 |
| 1962720250 | Matthew Christian Werpy | Anesthesiology | 4824 E 53rd St, #212, Minneapolis, MN 55417-5001 | 2010-05-11 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1518295260 | Robert Louis Venegoni | Anesthesiology | 5021 Scriver Road, Edina, MN 55436-1159 | 2009-11-18 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.