JONATHAN I RAVDIN (NPI# 1972687366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972687366 |
Entity Type | Individual |
Full Name | JONATHAN I RAVDIN |
Credential | MD |
Practice Address |
516 Delaware Street Se Pwb Sixth Floor, Clinic 6b Minneapolis MN 55455 |
Mailing Address |
420 Delaware Street Se University of Minnesota Physicians Minneapolis MN 55455 |
Practice Telephone | 6126254680 |
Mailing Telephone | 6126254680 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
38646 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | 7777470 | 05 | |
MN | MEDICA PRIMARY | 92-00007 | 01 |
IA | 0996405 | 05 | |
MN | MEDICA CHOICE | 92-11735 | 01 |
MN | BLUE CROSS BLUE SHIELD | 27T10RA | 01 |
MN | ARAZ | 768315 | 01 |
MN | PREFERRED ONE | 1012176 | 01 |
WI | 32201500 | 05 | |
ND | 10387 | 05 | |
MN | UCARE | 120045 | 01 |
Street Address |
516 DELAWARE STREET SE PWB SIXTH FLOOR, CLINIC 6B |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932193083 | Daniel James Guillaume | Neurological Surgery | 516 Delaware Street Se, Ump Neurosurgery Clinic, Minneapolis, MN 55455 | 2005-09-06 |
1194042689 | Amy Ann Mrazek | Surgery | 516 Delaware Street Se, Pwb 11-145e, Mmc 195, Minneapolis, MN 55455 | 2010-04-23 |
1932340213 | Daniel Joshua Steinberger | Radiology | 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455 | 2009-03-16 |
1518129071 | Torfi Thorkell Hoskuldsson | Surgery | 516 Delaware Street Se, Ump Surgery Clinic, Minneapolis, MN 55455-0356 | 2008-06-26 |
1659407708 | Deanna G.k. Teoh | Obstetrics & Gynecology | 516 Delaware Street Se, Women's Health Center, Minneapolis, MN 55455 | 2007-02-25 |
1295877702 | Kelly Renee Dietz | Radiology | 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455-0341 | 2007-02-12 |
1417031279 | Carrie Kissling | Registered Nurse | 516 Delaware Street Se, Pwb Third Floor, Clinic 3b, Minneapolis, MN 55455 | 2006-10-25 |
1295819498 | Anna Petryk | Pediatrics | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
1588748818 | Michael J Potegal | Clinical Neuropsychologist | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-24 |
1942382452 | Mark Richard Schleiss | Pediatrics | 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 | 2006-10-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
Find all providers in zip 55455 |
Taxonomy Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124437710 | Alan Raymond Lifson | Internal Medicine | 1300 S. Second Street, Suite 300, Minneapolis, MN 55454 | 2014-08-07 |
1841633898 | Matthew Flinn Pullen | Internal Medicine | 420 Delaware St Se # T, Minneapolis, MN 55455-0341 | 2013-04-09 |
1770766917 | Elliot L Francke | Internal Medicine | 825 Nicollet Mall Ste 701, Minneapolis, MN 55402-2613 | 2007-12-11 |
1184722464 | Infectious Diseases-minneapolis-ltd | Internal Medicine | 5700 Bottineau Boulevard, Suite 270, Minneapolis, MN 55429-3183 | 2006-09-20 |
1770687972 | Joseph R Thurn | Internal Medicine | Minneapolis Va Medical Center, 1 Veterans Drive, Minneapolis, MN 55417 | 2006-09-11 |
1629015086 | Dean T Tsukayama | Internal Medicine | 701 Park Ave # B1, Minneapolis, MN 55415-1623 | 2006-06-02 |
1689031767 | Eloy Enrique Ordaya Espinoza | Internal Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2016-01-21 |
1578903506 | Aditya Aniruddha Chandorkar | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2013-07-05 |
1265875165 | Rachel Marie Lanasa | Internal Medicine | 2800 Chicago Ave Ste 250, Minneapolis, MN 55407-1355 | 2013-04-10 |
1497054415 | Allina Health System | Internal Medicine | 2800 Chicago Ave Ste 250, Minneapolis, MN 55407-1355 | 2011-03-16 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55455 |
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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.