MARK WOLTERS


Address: 825 S 8th St, Ppc 206, Minneapolis, MN 55404-1208
Phone: 6123475321

MARK WOLTERS (NPI# 1982612610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982612610
Entity Type Individual
Full Name MARK WOLTERS
Practice Address 825 S 8th St
Ppc 206
Minneapolis
MN 55404-1208
Mailing Address 825 S 8th St
Minneapolis
MN 55404-1208
Practice Telephone 6123475321
Enumeration Date 2006-08-05
Last Update Date 2007-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 39895 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 825 S 8TH ST
PPC 206
City MINNEAPOLIS
State MN
Zip Code 55404-1208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104825280 Alan Divine Internal Medicine 825 S 8th St, Parkside Professional Bldg., Ste 600, Minneapolis, MN 55404-1208 2005-07-20
1871044230 Colleen Onstad Social Worker 825 S 8th St, Suite 600, Minneapolis, MN 55404-1208 2016-10-20
1982062006 Xin Piao Nurse Practitioner 825 S 8th St, Parkside Professional Center, Suite 206, Minneapolis, MN 55404-1208 2016-02-03
1477928943 Anne M Remington Registered Nurse 825 S 8th St, Suite 220, Minneapolis, MN 55404-1208 2015-12-09
1063887719 Parkside Dental, P.C. Dentist 825 S 8th St, Suite 1216, Minneapolis, MN 55404-1279 2015-12-07
1750752226 Sara Burke Social Worker 825 S 8th St, Minneapolis, MN 55404-1208 2015-10-09
1568856268 Cameron Clark Weaver Psychologist 825 S 8th St, Parkside Professional Center, Minneapolis, MN 55404-1208 2015-03-20
1184049272 Jennifer Serie Nurse Practitioner 825 S 8th St, Minneapolis, MN 55404-1208 2014-02-26
1033445838 Anna H. Weber Dentist 825 S 8th St, Suite 1216, Minneapolis, MN 55404-1279 2009-10-29
1396988804 Kendall James Feia Urology 825 S 8th St, Parkside Urology Clinic, Minneapolis, MN 55404-1208 2009-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861032054 David Gregg Internal Medicine 5305 Humboldt Ave S, Minneapolis, MN 55419 2020-01-15
1316454077 Independent Medical Clinic Pa Internal Medicine 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 2018-01-03
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1841650306 Megan Mcgovern Internal Medicine 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 2016-02-26
1700266079 Jacob Wagner Internal Medicine D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 2015-06-02
1659750503 Melissa Ann Plesac Internal Medicine 500 Harvard St Se # 741, Minneapolis, MN 55455 2015-05-26
1033503040 Elizabeth Stanton Teter Aby Internal Medicine 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 2015-03-27
1780002592 Annie M Jacobsen Internal Medicine 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 2014-03-31
1386066173 Michael Usher Internal Medicine 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 2014-01-13
1356684609 Anteneh Girma Zewde Internal Medicine 87 Orlin Ave Se, Minneapolis, MN 55414-3560 2013-04-04
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Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

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.

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