MINNESOTA MEDICAL SCANNING CORPORATION (NPI# 1902859887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902859887 |
| Entity Type | Organization |
| Organization Name | MINNESOTA MEDICAL SCANNING CORPORATION |
| Other Organization Name | CENTER FOR DIAGNOSTIC IMAGING |
| Practice Address |
16570 West 78th Street Ste 1 Eden Prairie MN 55346 |
| Mailing Address |
Po Box 1450 Nw5075 Minneapolis MN 55485-5075 |
| Practice Telephone | 9522948222 |
| Practice Fax Number | 9522948217 |
| Mailing Telephone | 9525428553 |
| Mailing Fax Number | 9525136880 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD D JACOBSEN (OFFICER ON THE BOARD SECRETARY) |
| Authorized Official Telephone | 9525436500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689627549 | Minnesota Medical Scanning Corporation | Radiology | 3450 124th Avenue Nw, Ste 100, Coon Rapids, MN 55433 | 2006-05-19 |
| 1033162177 | Minnesota Medical Scanning Corporation | Radiology | 1860 Beam Avenue, Maplewood, MN 55109 | 2006-05-18 |
| 1568415602 | Minnesota Medical Scanning Corporation | Radiology | 9325 Upland Lane, Suite 111, Maple Grove, MN 55369 | 2006-05-18 |
| 1386697423 | Minnesota Medical Scanning Corporation | Radiology | 8380 City Centre Drive, Ste 140, Woodbury, MN 55125 | 2006-05-18 |
| 1821041948 | Minnesota Medical Scanning Corporation | Radiology | 675 Nicollet Boulevard E, Ste 150, Burnsville, MN 55337 | 2006-05-18 |
| 1437102407 | Minnesota Medical Scanning Corporation | Radiology | 910 Sibley Memorial Highway, St Paul, MN 55118 | 2006-05-18 |
| 1851368294 | Minnesota Medical Scanning Corporation | Radiology | 5775 Wayzata Blvd, Suite 190, St Louis Park, MN 55416 | 2006-03-03 |
| Street Address |
16570 WEST 78TH STREET STE 1 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
| 1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
| 1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
| 1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
| 1649761735 | Kevin Rodda | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346 | 2018-05-23 |
| 1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1225289796 | Julie Ann Wettstein | Counselor | 18971 Barrington Dr, Eden Prairie, MN 55346-1032 | 2008-10-02 |
| Find all providers in zip 55346 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1184725228 | Virtual Radiologic Professionals of Texas, P.a. | Radiology | 11995 Singletree Lane, Suite 500, Eden Prairie, MN 55344-5349 | 2006-09-25 |
| 1821075797 | Nasir Iqbal | Radiology | 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 | 2005-12-30 |
| 1932183589 | Sean Owen Casey | Radiology | 6292 Chasewood Dr, Eden Prairie, MN 55344-3289 | 2005-12-06 |
| 1962405183 | Daniel R Fox | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2005-05-23 |
| 1457738072 | Lawrence Ngo | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-05-04 |
| 1962898502 | Daniel Eric Wingard | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-04-10 |
| 1851786453 | Megan Wood Hellfeld | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-03-31 |
| 1639564479 | Matthew Smetko | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-03-30 |
| 1750775755 | Timothy H Jan | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2015-03-27 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
Please comment or provide details below to improve the information on MINNESOTA MEDICAL SCANNING CORPORATION.
| 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.