FAIRVIEW HEALTH SERVCIES (NPI# 1982101416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982101416 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW HEALTH SERVCIES |
| Other Organization Name | FAIRVIEW PEDIATRIC THERAPY-MAPLEWOOD |
| Practice Address |
2945 Hazelwood St Ste 320 Maplewood MN 55109-1241 |
| Mailing Address |
400 Stinson Blvd Minneapolis MN 55413-2613 |
| Practice Telephone | 6122736228 |
| Practice Fax Number | 6122737360 |
| Mailing Telephone | 6126722258 |
| Mailing Fax Number | 6126726041 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | DANIEL M FROMM (CFO) |
| Authorized Official Telephone | 6126724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Fairview Pediatric Therapy-Maplewood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295576 | Fairview Health Servcies | Family Medicine | 11725 Stinson Ave Bldg A, Chisago City, MN 55013-9542 | 2017-06-22 |
| 1407930159 | Fairview Health Servcies | Pharmacy | 500 Harvard St Se Rm 1550, Minneapolis, MN 55455-0363 | 2006-10-25 |
| 1548344294 | Fairview Health Servcies | Pharmacy | 6401 France Ave S, Edina, MN 55435-2104 | 2006-10-25 |
| 1598849242 | Fairview Health Servcies | Pharmacy | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2006-10-25 |
| 1982788634 | Fairview Health Servcies | Pharmacy | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-10-25 |
| Street Address |
2945 HAZELWOOD ST STE 320 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063811552 | Alisse Zignego | Physical Therapist | 2945 Hazelwood St Ste 320, Maplewood, MN 55109-1244 | 2014-08-20 |
| 1992286082 | Fairview Health Services | Prosthetic/Orthotic Supplier | 2945 Hazelwood St Ste 320, Maplewood, MN 55109 | 2018-08-27 |
| 1093166431 | Megan Wetterling | Occupational Therapist | 2945 Hazelwood St Ste 320, Maplewood, MN 55109-1244 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416043 | Jenna Gasperlin | Physical Therapist | 657 Main St Nw Ste 102, Elk River, MN 55330-1578 | 2020-08-04 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1801300280 | Meghan Elizabeth Grathen | Physical Therapist | 490 S Maple St Ste 215, Waconia, MN 55387-1732 | 2017-11-21 |
| 1497205108 | Andrea Mary Mattison | Physical Therapist | 2399 Ariel St #a, Saint Paul, MN 55108-2202 | 2016-10-05 |
| 1457718264 | Jocelyn Lian Pediatric Physical Therapy Services, LLC | Physical Therapist | 13889 Fawn Ridge Way, Apple Valley, MN 55124-5035 | 2016-01-25 |
| 1689983587 | Karessa Hoffman | Physical Therapist | 9827 Maple Grove Pwky N, Maple Grove, MN 55369 | 2010-09-27 |
| 1134435332 | Lindsey Hulit Harrigan | Physical Therapist | 885 Highway 36 W, Apt. 304, Roseville, MN 55113-4429 | 2010-08-25 |
| 1760626196 | Crystal Lynn Markfort | Physical Therapist | 2025 East River Parkway, Mpls, MN 55414 | 2009-04-29 |
| 1659577153 | Mary Royer | Physical Therapist | 100 W Pleasure Dr, Litchfield, MN 55355-3525 | 2007-06-22 |
| 1295809366 | Children's Therapy Center, Inc | Physical Therapist | 2795 Pilot Knob Rd # 100, Eagan, MN 55121-1119 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
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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.