TWO RIVERS LUNG SPECIALISTS, P. A. (NPI# 1902839947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902839947 |
| Entity Type | Organization |
| Organization Name | TWO RIVERS LUNG SPECIALISTS, P. A. |
| Practice Address |
4040 Coon Rapids Blvd Nw Suite #100 Coon Rapids MN 55433-2522 |
| Practice Telephone | 7632369494 |
| Practice Fax Number | 7632369495 |
| Mailing Telephone | 7632369494 |
| Mailing Fax Number | 7632369495 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. JEANNE M NELSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7632369494 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
1564 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PART | 83654 | 01 |
| MN | MEDICA | 0001 | 01 |
| MN | UCARE | 142464 | 01 |
| MN | BCBS OF MN | 193J9TW | 01 |
| MN | 788700100 | 05 | |
| MN | RAILROAD MEDICARE | CJ7024 | 01 |
| Street Address |
4040 COON RAPIDS BLVD NW SUITE #100 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191316 | Rachel Margaret Bethke | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4567 | 2018-07-19 |
| 1336690882 | Lauren Wedel | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-4567 | 2016-10-19 |
| 1427416262 | Alec Droege | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-4567 | 2016-02-08 |
| 1568856599 | David Thomson | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, 120, Coon Rapids, MN 55433-4567 | 2015-03-27 |
| 1356765416 | Melissa R Durand | Physician Assistant | 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 | 2014-02-10 |
| 1619215415 | Sarah Anderson | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-4567 | 2013-01-29 |
| 1871727552 | Sloane Asha Mcgraw | Internal Medicine | 4040 Coon Rapids Blvd Nw, Ste 120, Coon Rapids, MN 55433-4567 | 2009-05-08 |
| 1629246707 | Joseph Mathew Cherian | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-4567 | 2008-02-12 |
| 1457411175 | Jeanne M Nelson | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite #100, Coon Rapids, MN 55433-2522 | 2006-12-11 |
| 1770652893 | Tung Thanh Nguyen | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-4567 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114068863 | Northwind Lung Specialists, P.a. | Internal Medicine | 3758 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2629 | 2007-02-08 |
| 1205105525 | Jesse Miller | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2011-12-14 |
| 1356497150 | Charles Owen Gensmer | Internal Medicine | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2007-01-25 |
| 1457411175 | Jeanne M Nelson | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite #100, Coon Rapids, MN 55433-2522 | 2006-12-11 |
| 1558381814 | Joseph L Graif | Internal Medicine | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548789910 | Sleepmedrx LLC | Internal Medicine | 7701 York Ave S Ste 100, Edina, MN 55435-5849 | 2017-09-16 |
| 1033354097 | Norman G Hepper | Internal Medicine | 1809 Hiawatha Ct Ne, Rochester, MN 55906-8014 | 2008-12-04 |
| 1841447083 | John Mcdougall | Internal Medicine | 1460 75th St Ne, Rochester, MN 55906-8903 | 2008-08-19 |
| 1396867909 | Abbie Lynn Begnaud | Internal Medicine | 516 Delaware Street, Clinic 6a, Umphysicians Medicine Specialties Clinic, Minneapolis, MN 55455 | 2007-04-04 |
| 1679593925 | Joan Mk Fox | Internal Medicine | 920 E 28th St # St5, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1871534214 | James W Leatherman | Internal Medicine | 701 Park Ave S, S1, Minneapolis, MN 55415-1623 | 2006-06-09 |
| 1649225012 | Conrad Iber | Internal Medicine | 606 24th Avenue South, Suite 106, Ump Sleep Medicine Clinic, Minneapolis, MN 55454-1437 | 2006-05-24 |
| 1831162395 | Jannica L Groom | Internal Medicine | 401 Phalen Boulevard, Mail Stop 41, St Paul, MN 55101-5302 | 2006-02-07 |
| 1194700864 | Sue Ann Ravenscraft | Internal Medicine | Park Nicollet Clinic Meadowbrook, 6490 Excelsior Blvd # W300, St Louis Park, MN 55426 | 2005-12-14 |
| 1326426818 | Synaptrx Sleep, LLC | Internal Medicine | 5565 Blaine Ave, Ste 225 / 275, Inver Grove Heights, MN 55076-1238 | 2015-05-15 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
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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.