David Allen Supik (NPI# 1154767366, PAC ID# 0345532701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154767366 |
| PAC ID by PECOS | 0345532701 |
| Professional Enrollment ID | I20170929000727 |
| Full Name | David Allen Supik |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
14500 N 99th Ave 1a038 Maple Grove MN 55369-4730 |
| Phone Number | 6126726999 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 | 6126726999 | FAIRVIEW HEALTH SERVICES |
| 909 Fulton St Se, Minneapolis, MN 55455-4800 | 6126727422 | UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Michaela M Monetti | Psychologist, Clinical | Fairview Health Services | 7455 Village Dr, Lino Lakes, MN 55014-1181 |
| Street Address |
14500 N 99TH AVE 1A038 |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Jayne Anderson Williams | Pathology | Fairview Health Services | 14500 N 99th Ave, Suite 210, Maple Grove, MN 55369-4730 |
| Mark A Traynham | General Surgery | Fairview Health Services | 14500 N 99th Ave, Suite 210, Maple Grove, MN 55369-4730 |
| Elizabeth L Courville | Pathology | Fairview Health Services | 14500 N 99th Ave, Suite 210, Maple Grove, MN 55369-4730 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MAPLE GROVE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Allen Supik.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.