KENNETH JOHN GUIDERA


Address: 2025 E River Pkwy, Minneapolis, MN 55414-3604
Phone: 6125966187

KENNETH JOHN GUIDERA (NPI# 1922150697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922150697
Entity Type Individual
Full Name KENNETH JOHN GUIDERA
Credential M.D.
Practice Address 2025 E River Pkwy
Minneapolis
MN 55414-3604
Mailing Address P.o. Box 209036
Shriners Hospitals for Children Twin Cities
Dallas
TX 75320-9036
Practice Telephone 6125966187
Practice Fax Number 6123397634
Mailing Telephone 8132818478
Mailing Fax Number 8132818113
Enumeration Date 2007-01-16
Last Update Date 2011-04-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XP3100X Orthopaedic Surgery
Specialization: Pediatric Orthopaedic Surgery
47329 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 1922150697 05
MN 158417100 05

Office Location

Street Address 2025 E RIVER PKWY
City MINNEAPOLIS
State MN
Zip Code 55414-3604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124126412 Sarah Jean Werner Orthopaedic Surgery 2025 E River Pkwy, Minneapolis, MN 55414-3604 2006-09-20
1437647682 Shriners Hospitals for Children Anesthesiology 2025 E River Pkwy, Minneapolis, MN 55414-3604 2018-04-24
1154721785 Pediatric Orthotic and Prosthetic Services - Midwest, LLC Prosthetic/Orthotic Supplier 2025 E River Pkwy, Minneapolis, MN 55414-3604 2014-09-02
1629477310 Rebecca Rouse Physical Therapist 2025 E River Pkwy, Minneapolis, MN 55414-3604 2014-08-19
1114369006 Shriners Hospitals for Children Nurse Practitioner 2025 E River Pkwy, Minneapolis, MN 55414-3604 2013-07-22
1730432709 Allyce Katherine Fisk Physician Assistant 2025 E River Pkwy, Minneapolis, MN 55414 2012-10-16
1669799201 Nancy M Easter Social Worker 2025 E River Pkwy, Minneapolis, MN 55414-3604 2010-04-21
1669702882 Kim Marie Nieuwenhuis Orthotist 2025 E River Pkwy, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 2010-01-11
1477883130 Kari Ann Leifheit Physical Therapist 2025 E River Pkwy, Shriners Hospital, Minneapolis, MN 55414 2009-12-31
1497999676 Charles Raydell Finnet Physician Assistant 2025 E River Pkwy, Minneapolis, MN 55414-3604 2009-05-01
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NPI Name Taxonomy Address Enumeration
1407496516 Liza N Meredith Psychologist Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 2020-01-07
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1164071148 Amy C Moran Psychologist Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 2019-09-11
1346806585 Kristen Bastug Student in an Organized Health Care Education/Training Program General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 2019-05-14
1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1427530666 Kelli Howard Psychologist 2724 University Ave Se Unit B, Minneapolis, MN 55414 2018-09-04
1306370218 Jiexiong Yang Student in an Organized Health Care Education/Training Program 814 Essex St Se, Minneapolis, MN 55414 2017-04-18
1598297699 Patrick Curran Student in an Organized Health Care Education/Training Program 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 2017-03-29
1679923957 Jillian Theresa Tholen Dietitian, Registered 411 E Hennepin Ave, Minneapolis, MN 55414 2016-06-16
1073960290 First Language Interpreter & Translation Services LLC Interpreter 2828 University Ave Se Suite 150, Minneapolis, MN 55414 2016-05-17
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Taxonomy Information

Taxonomy Code 207XP3100X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Pediatric Orthopaedic Surgery

Taxonomy Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750554747 Emily Margaret Andrisevic Orthopaedic Surgery 2512 S 7th St, Minneapolis, MN 55454-1404 2008-04-10
1699847400 Richard Jerome Aadalen Orthopaedic Surgery 2025 E River Parkway, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414-3604 2006-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336148345 James A Engels Orthopaedic Surgery 5901 Lincoln Dr, Edina, MN 55436 2005-07-20
1407171226 Aaron J Huser Orthopaedic Surgery 200 University Ave E, Saint Paul, MN 55101-2507 2010-04-05
1871798751 Jennifer Casey Laine Orthopaedic Surgery 200 University Ave E, Saint Paul, MN 55101-2507 2007-06-19

Competitor

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City MINNEAPOLIS
Zip Code 55414

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Dataset Information

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.

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