PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1891973434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891973434 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Practice Address |
1601 Saint Francis Ave Shakopee MN 55379-3383 |
| Mailing Address |
3800 Park Nicollet Blvd St Louis Park MN 55416-2527 |
| Practice Telephone | 9529935040 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | CATHERINE F LENAGH (CFO) |
| Authorized Official Telephone | 9529933108 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 339084500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
1601 SAINT FRANCIS AVE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467856 | Darren F Larson | Orthopaedic Surgery | 1601 Saint Francis Ave, Shakopee, MN 55379-3383 | 2005-12-12 |
| 1902217045 | Samantha Mantz | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2014-05-12 |
| 1255763900 | Jackie Kay Tewes | Nurse Practitioner | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2013-08-05 |
| 1891057311 | Christina Degler | Specialist/Technologist | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2012-06-11 |
| 1821374638 | Cynthia Jo Freitag-hagen | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-25 |
| 1023392388 | Patricia Gail Rechtzigel | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-05 |
| 1518263250 | Allina Health System | Clinic/Center | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2011-01-27 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1902068927 | Daniel N Kessler | Psychologist | 1601 Saint Francis Ave, Shakopee, MN 55379-3373 | 2008-07-01 |
| 1922273978 | Parvathi Theerthakarai | Family Medicine | 1601 Saint Francis Ave, 100, Shakopee, MN 55379-3383 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700054038 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 1667 17th Ave E Ste 102, Shakopee, MN 55379-4433 | 2008-02-20 |
| 1710005830 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4050 Dean Lake Blvd, Shakopee, MN 55379 | 2007-03-27 |
| 1598787285 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1685 17th Ave E, Shakopee, MN 55379-4407 | 2006-07-24 |
| 1538186937 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8101 Old Carriage Ct, Shakopee, MN 55379-3155 | 2006-07-16 |
| 1629095021 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 8201 Old Carriage Ct, Shakopee, MN 55379-3154 | 2006-07-16 |
| 1487105995 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-10-19 |
| 1245507201 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2011-11-18 |
| 1073837134 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1515 Saint Francis Ave, Shakopee, MN 55379-3387 | 2010-03-18 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1780852459 | Silverman Orthopaedics, PC | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Ste 200, Shakopee, MN 55379 | 2008-02-15 |
| Find all providers in SHAKOPEE | ||||
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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.