DR. GARY P MAYEUX JR. (NPI# 1912219809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912219809 |
| Entity Type | Individual |
| Full Name | DR. GARY P MAYEUX JR. |
| Credential | M.D. |
| Practice Address |
800 E 28th St # Mr 11112 Minneapolis MN 55407-3723 |
| Practice Telephone | 6128636590 |
| Practice Fax Number | 6128635247 |
| Mailing Telephone | 6128636590 |
| Mailing Fax Number | 6128635247 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146D00000X | Personal Emergency Response Attendant | 54722 | MN | Emergency Medical Service Providers |
| Y | 207P00000X | Emergency Medicine | 54772 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518077684 | Gary P Mayeux | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-30 |
| Street Address |
800 E 28TH ST # MR 11112 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659564011 | Sara Emily Friedman | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 | 2007-08-20 |
| 1811424179 | Diliana Stoimenova | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 | 2017-05-17 |
| 1447665542 | Carl Richard Gladitsch | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407 | 2014-06-26 |
| 1568753549 | Erin Elisabeth Meyers | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
| 1275946311 | Christopher Roy Peterson | Emergency Medicine | 800 East 28th Street Mr 11112, Abbott Northwestern Hospital, Minneapolis, MN 55407 | 2014-06-06 |
| 1144633629 | Nicholas John Philpot | Emergency Medicine | 800 E 28th St # 11112, Minneapolis, MN 55407-3723 | 2014-06-03 |
| 1508178609 | Samreen Vora | Emergency Medicine | 2525 Chicago Ave # 91040460, Minneapolis, MN 55404-4518 | 2010-07-06 |
| 1932439718 | David Scott Goldsteen | Emergency Medicine | 4885 E Lake Harriet Pkwy, Minneapolis, MN 55419-5222 | 2009-12-30 |
| 1043447790 | Travis D Olives | Emergency Medicine | 701 Park Ave South - Medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2009-06-19 |
| 1770759797 | Stephen Jared Dunlop | Emergency Medicine | 701 Park Ave South, Hennepin County Medical Center, Revenue Management, Minneapolis, MN 55415 | 2008-04-30 |
| 1659564011 | Sara Emily Friedman | Emergency Medicine | 800 E 28th St # Mr 11112, Minneapolis, MN 55407-3723 | 2007-08-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
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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.