ISAAC FELEMOVICIUS


Address: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369
Phone: 7635877900

ISAAC FELEMOVICIUS (NPI# 1881649291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881649291
Entity Type Individual
Full Name ISAAC FELEMOVICIUS
Other Name ISAAC FELEMOVICIUS - HERMANGUS
Credential M.D.
Practice Address 9825 Hospital Dr Ste 300
Maple Grove
MN 55369
Mailing Address 9825 Hospital Dr Ste 300
Maple Grove
MN 55369-4768
Practice Telephone 7635877900
Practice Fax Number 7634947501
Mailing Telephone 7635877900
Mailing Fax Number 7634947501
Enumeration Date 2006-05-24
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 39558 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 32584200 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3366 Oakdale Avenue North, Suite 315, Robbinsdale, MN 55422 7635877900 7635877989

Office Location

Street Address 9825 HOSPITAL DR STE 300
City MAPLE GROVE
State MN
Zip Code 55369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518917731 Hieu Kim Cabak Physician Assistant 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 2006-05-10
1467761890 Susan Mentjes Wrobel Nurse Practitioner 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 2010-10-04
1154583631 Kyle R Barker Surgery 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2008-06-26
1023276789 Tiffany T Fancher Colon & Rectal Surgery 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 2008-05-29
1235304726 North Clinic, Pa Internal Medicine 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 2008-04-25
1588840813 Anne C. Carlson-buren Podiatrist 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2008-01-16
1700815230 Sherry Ann Paulson Obstetrics & Gynecology 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2006-06-30
1164451662 Pete Albert Pooler Internal Medicine 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2006-06-30
1346286838 Leslee J Jaeger Obstetrics & Gynecology 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2006-06-22
1013953488 Kathryn G Flory Obstetrics & Gynecology 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 2006-06-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023276789 Tiffany T Fancher Colon & Rectal Surgery 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 2008-05-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750880829 Alan Lee Tims Md LLC Colon & Rectal Surgery 2007 Summit Dr, Saint Cloud, MN 56303-1249 2018-02-05
1700148426 Emmanuel Balcos Colon & Rectal Surgery 7914 Victoria Curv, Minneapolis, MN 55426-3066 2012-06-08
1265707632 Paul Evans Schultz Colon & Rectal Surgery 6495 Ideal Ave N, Mahtomedi, MN 55115-2004 2012-03-18
1104115484 Emily Frances Midura Colon & Rectal Surgery 6565 France Ave S Ste 375, Minneapolis, MN 55435-2141 2011-04-07
1861506263 Central Minnesota Surgeons Ltd Colon & Rectal Surgery 2000 23rd Street South, Suite 300, Sartell, MN 56377-4768 2006-08-19
1225046063 Frederic D Nemer Colon & Rectal Surgery 3366 Oakdale Ave, Suite 315, Robbinsdale, MN 55422 2006-08-04
1376596775 Colon & Rectal Surgery Associates Ltd Colon & Rectal Surgery 3433 Broadway St Ne, Suite 115, Minneapolis, MN 55413-1740 2006-05-18
1538133038 Anne M Boller Colon & Rectal Surgery 401 Phalen Blvd # Ms 41104a, Saint Paul, MN 55130 2006-02-14
1588225213 Fabian Grass Colon & Rectal Surgery 200 1st St Sw, Rochester, MN 55905-0001 2019-06-24
1346801222 William Richard George Perry Colon & Rectal Surgery 200 1st St Sw, Rochester, MN 55905-0001 2019-06-22
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Competitor

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City MAPLE GROVE
Zip Code 55369

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Dataset Information

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.

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