GREGORY M VERCELLOTTI (NPI# 1912008921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912008921 |
| Entity Type | Individual |
| Full Name | GREGORY M VERCELLOTTI |
| Credential | MD |
| Practice Address |
424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100 Minneapolis MN 55455 |
| Mailing Address |
720 Washington Ave Se University of Minnesota Physicians Minneapolis MN 55414-2924 |
| Practice Telephone | 6126255411 |
| Mailing Telephone | 6128840649 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25121 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25121 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ARAZ | 525815 | 01 |
| MN | FAIRVIEW | 090100 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 2T188VE | 01 |
| MN | HEALTHPARTNERS | HP22082 | 01 |
| MN | UCARE | 100794 | 01 |
| MN | MEDICA - CHOICE | 3624552 | 01 |
| MN | MEDICA - PRIMARY | 3674562 | 01 |
| MN | 927205400 | 05 | |
| MN | PREFERREDONE | 1009342 | 01 |
| Street Address |
424 HARVARD STREET SE MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720186893 | Tanya Watson | Nurse Practitioner | 424 Harvard Street Se, First Floor, Suite M100 - Masonic Cancer Center, Minneapolis, MN 55455 | 2006-09-20 |
| 1215019203 | Keith Mitchell Skubitz | Internal Medicine | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-10-19 |
| 1033209556 | Richard A King | Internal Medicine | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-10-13 |
| 1972604981 | Richard K Vehe | Pediatrics | 424 Harvard Street Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
| 1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
| 1205808466 | Paul J Thurmes | Internal Medicine | 910 E 26th St Ste 100, Minneapolis, MN 55404-4552 | 2006-02-02 |
| 1851361588 | Brian H Rank | Internal Medicine | 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454-1321 | 2006-01-25 |
| 1104358043 | Manoj Kumar | Internal Medicine | 701 Park Ave, Hennepin County Medical Center Internal Medicine, Minneapolis, MN 55415-1623 | 2017-03-30 |
| 1417374406 | Amit Arun Kulkarni | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2014-03-27 |
| 1417397316 | Joseph Maakaron | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2013-06-25 |
| 1649521618 | Dennis L Confer | Internal Medicine | 3001 Broadway St Ne, Suite 100, Minneapolis, MN 55413-2195 | 2012-10-01 |
| 1730440140 | Fiona He | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455 | 2012-06-01 |
| 1366708794 | Karim Ramzi Saab | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2012-04-10 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on GREGORY M VERCELLOTTI.
| 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.