Edwin S Hong (NPI# 1871541920, PAC ID# 0446297139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871541920 |
| PAC ID by PECOS | 0446297139 |
| Professional Enrollment ID | I20050414000130 |
| Full Name | Edwin S Hong |
| Organization Legal Name | FAIRVIEW CLINICS |
| Address |
3305 Central Park Village Dr Suite 200 Eagan MN 55121-7707 |
| Phone Number | 6514068860 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7113830142 |
| Number of Group Practice Members | 335 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 | 6514068860 | FAIRVIEW CLINICS |
| Organization Legal Name | FAIRVIEW CLINICS |
| Physicians | 254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Alderman | Family Medicine | Fairview Clinics | 14040 Northdale Blvd, Rogers, MN 55374-9612 |
| Scott Wavinak | Family Medicine | Fairview Clinics | 5725 Loftus Ln, Savage, MN 55378-2717 |
| Kathryn A Aune | Internal Medicine | Fairview Clinics | 830 Prairie Ctr Dr, Eden Prairie, MN 55344-7301 |
| Xiaoyu J Hou | Internal Medicine | Fairview Clinics | 6545 France Ave S, Suite 150, Edina, MN 55435-2180 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Sherri R Fuller | Nurse Practitioner | Fairview Clinics | 303 E Nicollet Blvd, Suite 160, Burnsville, MN 55337-4588 |
| Scott P Bender | Family Medicine | Fairview Clinics | 19685 Pilot Knob Rd, Farmington, MN 55024-7238 |
| Shao C Lee | Family Medicine | Fairview Clinics | 18580 Joplin Ave, Lakeville, MN 55044-4218 |
| Mohammad H Arbabi | Internal Medicine | Fairview Clinics | 3400 W 66th St, Suite 290, Edina, MN 55435-2133 |
| Lindsey K Locken | Physician Assistant | Fairview Clinics | 1151 Silver Lake Rd Nw, New Brighton, MN 55112-6324 |
| Street Address |
3305 CENTRAL PARK VILLAGE DR SUITE 200 |
| City | EAGAN |
| State | MN |
| Zip | 55121-7707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason B Kimmel | Physician Assistant | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Nicholas Roffers | Qualified Speech Language Pathologist | Fairview Health Services | 3305 Central Park Village Dr, Suite 130, Eagan, MN 55121-7707 |
| Colette R Brogan | Occupational Therapy | Fairview Health Services | 3305 Central Park Village Dr, Eagan, MN 55121-7707 |
| Kristine L Johnson | Optometry | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Amanda Enstrom | Qualified Speech Language Pathologist | Fairview Health Services | 3305 Central Park Village Dr, Suite 130, Eagan, MN 55121-7707 |
| Christopher M Kobe | Internal Medicine | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Lynn M Osborne | Physical Therapy | Fairview Health Services | 3305 Central Park Village Dr, Eagan, MN 55121-7707 |
| Mary K Spencer | Registered Dietitian Or Nutrition Professional | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Sarah A Mcintire | Internal Medicine | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Christopher J Sabal | Obstetrics/gynecology | Fairview Clinics | 3305 Central Park Village Dr, Suite 200, Eagan, MN 55121-7707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Schroeder | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Marysa Meyer | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Joanna Vermedahl | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Daniel Jm Carroll | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Kayla Marie Uphoff | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Ashley Emiko Takekawa | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Angela Vong | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 3460 Promenade Ave E, Eagan, MN 55121 |
| Steven W Kraushaar | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Robert Evans | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Kelly Ruth Carlson | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Find all physicians in zip 55121 | |||
| City | EAGAN |
| Zip Code | 55121 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAGAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Edwin S Hong.
| 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.