IAN MCKELVEY MOORHEAD (NPI# 1912974148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912974148 |
| Entity Type | Individual |
| Full Name | IAN MCKELVEY MOORHEAD |
| Credential | MD |
| Practice Address |
550 Osborne Rd Ne Unity Hospital Fridley MN 55432 |
| Mailing Address |
5435 Feltl Rd Minnetonka MN 55343-7983 |
| Practice Telephone | 7632364144 |
| Practice Fax Number | 7632364900 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27626 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 024888600 | 05 | |
| MN | MN MEDICAL LICENSE | 27626 | 01 |
| Street Address |
550 OSBORNE RD NE UNITY HOSPITAL |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666497 | Jeffrey S Herman | Radiology | 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432-2718 | 2005-08-17 |
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1982660676 | Edwin Turner | Emergency Medicine | Unity Medical Center, 550 Osbourne Rd Ne, Fridley, MN 55432 | 2006-04-22 |
| 1255390308 | Susan Kay Hafferman | Emergency Medicine | 350 Osborne Rd Ne, Unity Hospital, Fridley, MN 55432 | 2006-03-18 |
| 1649472929 | Carolyn A. Mcclain | Emergency Medicine | Unity Hospital, 550 Osborne Road Ne, Fridley, MN 55432-0000 | 2007-05-31 |
| 1407815566 | Kurt Edward Belk | Emergency Medicine | 550 Osborne Rd Ne, Unity Medical Center, Fridley, MN 55432 | 2006-03-18 |
| 1033178199 | Wendy Laine | Emergency Medicine | 550 Osborne Rd Ne, Unity Medical Center, Fridley, MN 55432 | 2006-03-18 |
| 1942269006 | Peter T Currie | Emergency Medicine | 550 Osborne Rd Ne, Unity Medical Center, Fridley, MN 55432 | 2006-03-18 |
| 1598724643 | William Carter Keig | Emergency Medicine | 550 Osborne Rd Ne, Unity Hospital, Fridley, MN 55432 | 2006-03-18 |
| 1780643833 | George Michael Pope | Emergency Medicine | 350 Osborne Rd Ne, Unity Medical Center, Fridley, MN 55432 | 2006-03-18 |
| 1780651901 | Steven Gene Hagen | Emergency Medicine | 550 Osborne Rd Ne, Fridley, MN 55432 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1366968448 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 | 2017-08-21 |
| 1205366713 | St Francis Regional Medical Center | Emergency Medicine | 1451 Adams St S, Shakopee, MN 55379-2697 | 2017-06-16 |
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1164957619 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 2317 Bemidji Ave N, Bemidji, MN 56601-2316 | 2017-04-21 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1841739240 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 501 W Central Entrance, Duluth, MN 55811-5447 | 2017-02-17 |
| 1003364720 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 | 2016-09-12 |
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
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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.