JENNIFER RENEE SIGNOR (NPI# 1972036531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972036531 |
Entity Type | Individual |
Full Name | JENNIFER RENEE SIGNOR |
Other Name | JENNIFER RENEE BECKER |
Credential | D.O. |
Practice Address |
15111 Twelve Oaks Center Dr Minnetonka MN 55305-5202 |
Practice Telephone | 9529934500 |
Mailing Telephone | 9529934500 |
Enumeration Date | 2017-04-10 |
Last Update Date | 2020-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 67050 | MN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
717 Delaware St Se, 1932k (campus Delivery Code), Suite 353, Minneapolis, MN 554142959 | 6126262953 |
Street Address |
15111 TWELVE OAKS CENTER DR |
City | MINNETONKA |
State | MN |
Zip Code | 55305-5202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558344176 | Benjamin Pease IIi | Internal Medicine | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2005-11-29 |
1932764313 | Mollie Naughton | Nurse Practitioner | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2019-05-01 |
1235636275 | Anna Theis | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2018-04-06 |
1780133314 | Ariel Brea- Anna Cole | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2016-09-23 |
1821476862 | Lisa Vigen | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2015-05-11 |
1699174250 | Park Nicollet Health Services | Clinic/Center | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2014-08-20 |
1326447921 | Christine Delahunt | Physical Therapist | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 | 2014-08-19 |
1265840888 | Park Nicollet | Clinic/Center | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2014-07-28 |
1568872547 | Laura Hanson | Obstetrics & Gynecology | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202 | 2014-04-30 |
1669892170 | Laura Conger | Student in an Organized Health Care Education/Training Program | 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | 2014-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
Find all providers in zip 55305 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
1770914095 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
1043641368 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite, 250, Minnetonka, MN 55345 | 2013-12-12 |
1780015008 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive, Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
1235439548 | Crystal Singewald | Pediatrics | 17705 Hutchins Dr Ste 100, Minnetonka, MN 55345-4145 | 2010-11-02 |
1447480280 | Yana T. Nagle | Pediatrics | 17705 Hutchins Drive, Suite 101, South Lake Pediatrics, Minnetonka, MN 55345 | 2009-07-14 |
1417047879 | Daniel P Kohen | Pediatrics | 10505 Wayzata Blvd, Suite #200, Minnetonka, MN 55305-1502 | 2006-10-13 |
1063486595 | Burton Allan Benson Jr. | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2006-02-13 |
1528030053 | Kelly Swearingen Lemieux | Pediatrics | 14001 Ridgedale Drive, #100, Minnetonka, MN 55305 | 2006-02-07 |
1942728936 | Shane Mcwhirter | Pediatrics | 14001 Ridgedale Dr Ste 100, Minnetonka, MN 55305-1781 | 2017-08-30 |
Find all providers in MINNETONKA |
City | MINNETONKA |
Zip Code | 55305 |
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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.