Johanna Dijkstal Beebe
PARK NICOLLET CLINIC


Address: 250 Central Ave N, Wayzata, MN 55391-1206
Phone: 9529933123

Johanna Dijkstal Beebe (NPI# 1093073868, PAC ID# 0446493399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1093073868
PAC ID by PECOS 0446493399
Professional Enrollment ID I20170921002037
Full Name Johanna Dijkstal Beebe
Organization Legal Name PARK NICOLLET CLINIC
Address 250 Central Ave N
Wayzata
MN 55391-1206
Phone Number 9529933123
Gender F
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 2012
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 7911819438
Number of Group Practice Members 1323
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240053 PARK NICOLLET METHODIST HOSPITAL

Other Locations

Address Phone Organization
5320 Hyland Greens Dr, Bloomington, MN 55437-3934 9529932400 PARK NICOLLET CLINIC
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 PARK NICOLLET CLINIC
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 9529933123 PARK NICOLLET CLINIC
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 9529933123 PARK NICOLLET CLINIC
250 Central Ave N, Wayzata, MN 55391-1206 9529933123 PARK NICOLLET CLINIC

Organization Information

Organization Legal Name PARK NICOLLET CLINIC
Physicians 1272

Physicians with the same organization

Name Specialty Organization Address
Grace Marie Irish Nurse Practitioner Park Nicollet Clinic 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Lonzale Ramsey Family Medicine Park Nicollet Clinic 2001 Blaisdell Ave, Minneapolis, MN 55404-2414
Kurt Wolff Physical Therapy Park Nicollet Clinic 15800 N 95th Ave, Maple Grove, MN 55369-4400
Alexandra E Wells Internal Medicine Park Nicollet Clinic 13688 Rogers Dr, Rogers, MN 55374-4916
Mysoon M Ayuob Family Medicine Park Nicollet Clinic 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201
Brian Lee Walters Orthopedic Surgery Park Nicollet Clinic 14000 Fairview Dr, Burnsville, MN 55337-5713
Jared J Mell Family Medicine Park Nicollet Clinic 4951 Excelsior Blvd, St Louis Park, MN 55416-3033
Sean M Reardon Clinical Psychologist Park Nicollet Clinic 9555 Upland N Ln, Maple Grove, MN 55369-4485
Jeffrey J Mohr Physician Assistant Park Nicollet Clinic 1885 Plaza Dr, Eagan, MN 55122-2979
Kristine L Gehrmann Physician Assistant Park Nicollet Clinic 12142 Business Park Blvd N, Champlin, MN 55316-4525

Office Location

Street Address 250 CENTRAL AVE N
City WAYZATA
State MN
Zip 55391-1206

Physicians in the same location

Name Specialty Organization Address
John S Berestka Ophthalmology Northwest Eye Clinic LLC 250 Central Ave N, Suite 107, Wayzata, MN 55391-1207
Salma S Mohsin Internal Medicine Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Lauren B Oneill Obstetrics/gynecology Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Patricia A Sorensen Family Medicine Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Leela Engineer Physical Medicine and Rehabilitation Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Christopher Bret Kruthoff Optometry Northwest Eye Clinic LLC 250 Central Ave N, Suite 107, Wayzata, MN 55391-1207
James J Omlie Maxillofacial Surgery Oral and Maxillofacial Surgical Consultants Pa 250 Central Ave N, Suite 126, Wayzata, MN 55391-1293
Nicholas Schmitt Ophthalmology Northwest Eye Clinic LLC 250 Central Ave N, Suite 105, Wayzata, MN 55391-1207
Bok Chung Psychiatry Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Oliver W Cass Gastroenterology Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Julie M Farias Family Medicine Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Ann M Stevens Nurse Practitioner Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Patricia M Winters Optometry Northwest Eye Clinic LLC 250 Central Ave N, Wayzata, MN 55391-1207
Stanley D Walker Ophthalmology Northwest Eye Clinic LLC 250 Central Ave N, Suite 105, Wayzata, MN 55391-1207
Joyce K Mundahl Optometry Northwest Eye Clinic LLC 250 Central Ave N, Suite 105, Wayzata, MN 55391-1207
Carrie D Parente Psychiatry 250 Central Ave N, Suite 114, Wayzata, MN 55391-1232
Brett J Kurtzman Maxillofacial Surgery Oral and Maxillofacial Surgical Consultants Pa 250 Central Ave N, Suite 126, Wayzata, MN 55391-1293
Mark R Omlie Maxillofacial Surgery Oral and Maxillofacial Surgical Consultants Pa 250 Central Ave N, Wayzata, MN 55391-1293
Lydia T Schmidt Chiropractic 101 Lake St W, Suite 210, Wayzata, MN 55391-1576
Victoria L Whitman Optometry Eye Doctors Office P.a. 747 E Lake St, Wayzata, MN 55391-1712
Find all physicians in zip 55391

Competitor

Search similar physicians

City WAYZATA
Zip Code 55391
Specialty OPHTHALMOLOGY
City + Specialty WAYZATA + OPHTHALMOLOGY

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Dataset Information

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.

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