DR. PARVATHI THEERTHAKARAI (NPI# 1922273978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922273978 |
| Entity Type | Individual |
| Full Name | DR. PARVATHI THEERTHAKARAI |
| Credential | MD |
| Practice Address |
1601 Saint Francis Ave 100 Shakopee MN 55379-3383 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9524283535 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 53215 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1601 SAINT FRANCIS AVE 100 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467856 | Darren F Larson | Orthopaedic Surgery | 1601 Saint Francis Ave, Shakopee, MN 55379-3383 | 2005-12-12 |
| 1902217045 | Samantha Mantz | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2014-05-12 |
| 1255763900 | Jackie Kay Tewes | Nurse Practitioner | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2013-08-05 |
| 1891057311 | Christina Degler | Specialist/Technologist | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2012-06-11 |
| 1821374638 | Cynthia Jo Freitag-hagen | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-25 |
| 1023392388 | Patricia Gail Rechtzigel | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-05 |
| 1518263250 | Allina Health System | Clinic/Center | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2011-01-27 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1902068927 | Daniel N Kessler | Psychologist | 1601 Saint Francis Ave, Shakopee, MN 55379-3373 | 2008-07-01 |
| 1780852459 | Silverman Orthopaedics, PC | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Ste 200, Shakopee, MN 55379 | 2008-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932245503 | Marianne Ruth Kanning | Family Medicine | 1446 County Road 14, Shakopee, MN 55379-8925 | 2007-01-30 |
| 1336122969 | Daniel W Hauschulz | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2005-11-29 |
| 1407200892 | Chelsey Sand | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2016-04-21 |
| 1174758908 | Liza Antoinette Jain Phu | Family Medicine | 4201 Dean Lakes Blvd, #120, Shakopee, MN 55379-2829 | 2009-05-22 |
| 1770765141 | Gustavo H Navarrete | Family Medicine | 1415 St Francis Ave, Shakopee, MN 55379 | 2007-11-28 |
| 1013118173 | Kristin A Witte | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2007-05-29 |
| 1215081468 | Chaska Medical Center | Family Medicine | 1335 10th Ave E, Shakopee, MN 55379-2901 | 2007-01-23 |
| 1730289851 | Sandra Kaye Morris | Family Medicine | 4201 Dean Lakes Blvd, Suite 120, Shakopee, MN 55379-2829 | 2006-09-25 |
| 1982705059 | Lori L W Melby | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-09-25 |
| 1750482774 | Nathan Lee Markell | Family Medicine | 4201 Dean Lakes Blvd, Suite 120, Shakopee, MN 55379-2829 | 2006-09-25 |
| Find all providers in SHAKOPEE | ||||
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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.