MALCOLM BLUMENTHAL (NPI# 1912944489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912944489 |
| Entity Type | Individual |
| Full Name | MALCOLM BLUMENTHAL |
| Credential | MD |
| Practice Address |
825 S 8th St M50 Minneapolis MN 55404-1208 |
| Mailing Address |
25 Lawn Ter Golden Valley MN 55416-1110 |
| Practice Telephone | 6123476450 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 014547-3 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 438577200 | 05 |
| Street Address |
825 S 8TH ST M50 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825280 | Alan Divine | Internal Medicine | 825 S 8th St, Parkside Professional Bldg., Ste 600, Minneapolis, MN 55404-1208 | 2005-07-20 |
| 1871044230 | Colleen Onstad | Social Worker | 825 S 8th St, Suite 600, Minneapolis, MN 55404-1208 | 2016-10-20 |
| 1982062006 | Xin Piao | Nurse Practitioner | 825 S 8th St, Parkside Professional Center, Suite 206, Minneapolis, MN 55404-1208 | 2016-02-03 |
| 1477928943 | Anne M Remington | Registered Nurse | 825 S 8th St, Suite 220, Minneapolis, MN 55404-1208 | 2015-12-09 |
| 1063887719 | Parkside Dental, P.C. | Dentist | 825 S 8th St, Suite 1216, Minneapolis, MN 55404-1279 | 2015-12-07 |
| 1750752226 | Sara Burke | Social Worker | 825 S 8th St, Minneapolis, MN 55404-1208 | 2015-10-09 |
| 1568856268 | Cameron Clark Weaver | Psychologist | 825 S 8th St, Parkside Professional Center, Minneapolis, MN 55404-1208 | 2015-03-20 |
| 1184049272 | Jennifer Serie | Nurse Practitioner | 825 S 8th St, Minneapolis, MN 55404-1208 | 2014-02-26 |
| 1033445838 | Anna H. Weber | Dentist | 825 S 8th St, Suite 1216, Minneapolis, MN 55404-1279 | 2009-10-29 |
| 1396988804 | Kendall James Feia | Urology | 825 S 8th St, Parkside Urology Clinic, Minneapolis, MN 55404-1208 | 2009-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
| 1518960095 | Hannelore August Brucker | Allergy & Immunology | 4010 W 65th St, Ste 221, Minneapolis, MN 55435-1706 | 2005-05-27 |
| 1720594500 | Paul Lorenz Bigliardi | Allergy & Immunology | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2017-12-16 |
| 1083036222 | Gregory Paul Gilmet | Allergy & Immunology | 401 Harding St Ne # 100, Minneapolis, MN 55413-2801 | 2014-01-07 |
| 1154671873 | Manarmohammad Sharif Abdalgani | Allergy & Immunology | 2525 Chicago Ave, Minneapolis, MN 55404 | 2012-09-11 |
| 1477680718 | Southdale Allergy and Asthma Clinic, LLC | Allergy & Immunology | 4010 W 65th St, #221, Minneapolis, MN 55435-1721 | 2007-02-27 |
| 1881736544 | Eisenstadt Allergy & Asthma LLP | Allergy & Immunology | 825 Nicollet Mall, Suite 221, Minneapolis, MN 55402 | 2007-02-12 |
| 1295840783 | Nancy Lorene Ott | Allergy & Immunology | 2535 University Ave Se, Minneapolis, MN 55414-3205 | 2006-08-21 |
| 1629031034 | Thomas Craig Eisenstadt | Allergy & Immunology | 825 Nicollet Mall, Suite 221 Eisenstadt Allergy & Asthma LLP, Minneapolis, MN 55426 | 2006-04-07 |
| 1689636482 | Ramarathinam Nagarajan | Allergy & Immunology | 825 Nicollet Mall, 221, Minneapolis, MN 55402 | 2006-04-05 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.