DR. JENNIFER GRIFFITH SHANKLIN (NPI# 1881915403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881915403 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER GRIFFITH SHANKLIN |
| Credential | M.D. |
| Practice Address |
920 E 28th St Ste 460 Minneapolis MN 55407-1286 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 6128637770 |
| Practice Fax Number | 6128637772 |
| Mailing Telephone | 3193561616 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 66273 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD-42793 | IA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 125.057738 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
66273 | MN | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD-42793 | IA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
66273 | MN | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD-42793 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 52242 | 3193561616 | |
| 600 S Paulina St, Chicago, IL 60612 | 6175153610 |
| Street Address |
920 E 28TH ST STE 460 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649445917 | Natasha M Rueth | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-04-28 |
| 1013424019 | Allina Health System | Urology | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2017-12-29 |
| 1427575794 | Julie Ann Graner | Physician Assistant | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2017-08-27 |
| 1528315181 | Devon Sittlow Callahan | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2012-08-13 |
| 1154684835 | Allina Health System | Dietitian, Registered | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2012-06-19 |
| 1972894079 | Benjamin Thomas Miller | Surgery | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2011-04-22 |
| 1770735581 | Megan Phillips Schmit | Physician Assistant | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-10-13 |
| 1124288691 | Dervie Crespo | Nurse Practitioner | 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 | 2008-06-09 |
| 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 | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730288119 | Roderick Allen Barke | Surgery | Department of Surgery (112), Minneapolis Veterans Affair Medical Center, Minneapolis, MN 55417-2648 | 2006-09-21 |
| 1972898054 | Jacob Andrew Swann | Surgery | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2011-06-16 |
| 1477780245 | Christopher James Tignanelli | Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2009-06-18 |
| 1053550434 | Julie Ottosen | Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2009-02-09 |
| 1235218793 | Gregory J Beilman | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1e, Minneapolis, MN 55455 | 2006-11-03 |
| 1124100821 | Paul Nmi Druck | Surgery | 1 Veterans Dr, #112, Minneapolis, MN 55417-2309 | 2006-10-20 |
| 1841248291 | Surgical Specialists of Minnesota | Surgery | 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404-4522 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740515642 | Mark Francis Scott II | Surgery | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-10-09 |
| 1720261779 | Jay Michael Shoaps | Surgery | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-12-13 |
| 1417936600 | Christopher Moir | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2006-01-16 |
| 1144212572 | Andrew Donald Smith Jr. | Surgery | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-08-22 |
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DR. JENNIFER GRIFFITH SHANKLIN.
| 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.