VIRGINIA M MANDAC (NPI# 1902971609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902971609 |
| Entity Type | Individual |
| Full Name | VIRGINIA M MANDAC |
| Credential | M.D. |
| Practice Address |
3301 7th Ave Anoka MN 55303-4516 |
| Practice Telephone | 7637124000 |
| Practice Fax Number | 7637124013 |
| Mailing Telephone | 7637124000 |
| Mailing Fax Number | 7637124013 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
21850 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
3301 7TH AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368001 | Matthew Splett | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2005-06-30 |
| 1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
| 1619512621 | Chinedu Uzoma Odurukwe | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-11-13 |
| 1003461864 | Haron Nyakundi Manwa | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2019-08-07 |
| 1750819223 | Shelly Lynn Lettmann | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2017-05-30 |
| 1801320817 | Andrew Zwack | Pharmacist | 3301 7th Ave, Pharmacy, Anoka, MN 55303-4516 | 2017-04-17 |
| 1801240205 | Ernestine Mambo | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2016-04-21 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1932575305 | Peg Fitzgerald Hintz | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-08-19 |
| 1942688957 | Benjamin Gerndt Otopalik | Psychiatry & Neurology | 3301 7th Ave, Anoka, MN 55303-4516 | 2015-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669856985 | Amy K Bennett | Family Medicine | 13001 County Road 10, Plymouth, MN 55442-1124 | 2015-07-16 |
| 1144651977 | Dennis Earl Lofstrom | Family Medicine | 404 5th Ave Nw, Kasson, MN 55944-1016 | 2013-12-04 |
| 1437399763 | Thomas Gerald Schwinghamer | Family Medicine | 2232 Passi Rd, Ely, MN 55731-8166 | 2009-02-26 |
| 1447404314 | Robert R Thompson | Family Medicine | 209 Golden Bear Ln, Zumbrota, MN 55992-5182 | 2008-11-05 |
| 1700038023 | Larry William Kotek | Family Medicine | 7700 France Ave S, Suite 100, Edina, MN 55435-5847 | 2008-10-17 |
| 1861643157 | Gregory Harold Salmi | Family Medicine | 4516 Edina Blvd, Edina, MN 55424-1134 | 2008-10-05 |
| 1790866374 | John Wiliam Nolan | Family Medicine | 1617 Skyline Dr., Rochester, MN 55902-0954 | 2006-10-18 |
| 1437708609 | Sherry Elaine Hemauer | Family Medicine | 777 Raymond Ave, Saint Paul, MN 55114-1522 | 2019-09-10 |
| 1205303070 | Lindsay Rae Emmerich | Family Medicine | 7600 France Ave S Ste 4100, Edina, MN 55435-6027 | 2018-10-30 |
| 1952763914 | Seleipiri I Akobo | Family Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2016-03-28 |
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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.