DR. REBECCA C ROSSOM (NPI# 1992887186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992887186 |
| Entity Type | Individual |
| Full Name | DR. REBECCA C ROSSOM |
| Credential | M.D. |
| Practice Address |
401 Phalen Blvd Ms 41104c Healthpartners Specialty Center 401 St. Paul MN 55130-5302 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512547900 |
| Practice Fax Number | 6512547904 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 6512547904 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
45378 | MN | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
45378 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
401 PHALEN BLVD MS 41104C HEALTHPARTNERS SPECIALTY CENTER 401 |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205169901 | Randi L Salter | Nurse Practitioner | 401 Phalen Blvd, Healthpartners Speciality Center 401, St. Paul, MN 55130-5302 | 2009-09-12 |
| 1194981357 | Abrina K Korman | Nurse Practitioner | 401 Phalen Blvd, Ms 41102d Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2008-08-06 |
| 1427218650 | Erica Grinager | Dermatology | 401 Phalen Blvd, Ms 41102b Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2008-06-11 |
| 1891994067 | Sharon Lynn Frattalone | Internal Medicine | 401 Phalen Blvd, Ms 41103a, St. Paul, MN 55130 | 2007-07-17 |
| 1982747515 | Seth C Janus | Otolaryngology | 401 Phalen Blvd, Healthpartners Speciality Center 401, St. Paul, MN 55130-5302 | 2007-02-14 |
| 1306863949 | Alejandro Mendez | Neurological Surgery | 401 Phalen Blvd, Ms 11503g - Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-07-17 |
| 1710935895 | Nicholas H Benson | Internal Medicine | 401 Phalen Blvd, Healthpartners Speciality Center 401, St. Paul, MN 55130-5302 | 2006-05-04 |
| 1609840669 | Warren Schubert | Surgery | 401 Phalen Blvd, Healthpartners Specialty Center 401, St. Paul, MN 55130 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680259 | Laura Pientka | Psychiatry & Neurology | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2014-04-21 |
| 1679802797 | William B Orr Consulting Pa | Psychiatry & Neurology | 720 Main St Ste 204, Mendota Hts, MN 55118-1800 | 2009-12-19 |
| 1477757607 | Paulo R Shiroma | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-06-12 |
| 1871665711 | William A Callahan | Psychiatry & Neurology | 6525 Drew Ave S, Edina, MN 55435 | 2006-11-15 |
| 1558457390 | Susan Elizabeth Czapiewski | Psychiatry & Neurology | 1 Veterans Dr, 116a, Minneapolis, MN 55417-2309 | 2006-10-05 |
| 1114020641 | Geriatric & General Psychiatry | Psychiatry & Neurology | 6525 Drew Ave S, Edina, MN 55435 | 2006-09-07 |
| 1831203017 | Maurice William Dysken | Psychiatry & Neurology | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-08-18 |
| 1639121700 | Kathryn D Lombardo | Psychiatry & Neurology | 210 9th St Se, Rochester, MN 55904-6425 | 2006-05-17 |
| 1003882010 | Jonathan Peterson | Psychiatry & Neurology | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-02-28 |
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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.