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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
47329 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1922150697 | 05 | |
MN | 158417100 | 05 |
Street Address |
2025 E RIVER PKWY |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55414-3604 |
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 |
Find all providers in the same location |
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 |
1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
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 |
Find all providers in zip 55414 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
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] |
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 |
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 |
City | MINNEAPOLIS |
Zip Code | 55414 |
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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.