Russell L Wavrin (NPI# 1962479071, PAC ID# 2668368853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1962479071 |
| PAC ID by PECOS | 2668368853 |
| Professional Enrollment ID | I20040225000142 |
| Full Name | Russell L Wavrin |
| Organization Legal Name | OBSTETRICS AND GYNECOLOGY ASSOCIATES, P.A. |
| Address |
305 E Nicollet Blvd Suite 170 Burnsville MN 55337-4828 |
| Phone Number | 9524354190 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 0749229748 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 | 9524354190 | OBSTETRICS AND GYNECOLOGY ASSOCIATES, P.A. |
| Organization Legal Name | OBSTETRICS AND GYNECOLOGY ASSOCIATES, P.A. |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki I Buth | Nurse Practitioner | Obstetrics and Gynecology Associates, P.a. | 6565 France Ave S, Suite 300, Edina, MN 55435-2137 |
| Lindsay J Darrah | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 9550 Upland Lane N, Suite 230, Maple Grove, MN 55369-4481 |
| Jennifer Sackrison Metherd | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Suzin Cho | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Elizabeth P Elfstrand | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Sheila R Goodman | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Daniel T Chow | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Jessica L Grajczyk | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Robin J Ou Yang | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Jennifer H Ambur | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Street Address |
305 E NICOLLET BLVD SUITE 170 |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-4828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Meschke | Obstetrics/gynecology | Premier Obgyn of Minnesota Pa | 305 E Nicollet Blvd, Suite 393, Burnsville, MN 55337-8328 |
| Rachel A Harris | Obstetrics/gynecology | Premier Obgyn of Minnesota Pa | 305 E Nicollet Blvd, Suite 393, Burnsville, MN 55337-8328 |
| Jennifer Sackrison Metherd | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Suzin Cho | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Annelise S Swigert | Obstetrics/gynecology | Premier Obgyn of Minnesota Pa | 305 E Nicollet Blvd, Suite 393, Burnsville, MN 55337-8328 |
| Elizabeth P Elfstrand | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Sheila R Goodman | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Daniel T Chow | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Jessica L Grajczyk | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Robin J Ou Yang | Obstetrics/gynecology | Obstetrics and Gynecology Associates, P.a. | 305 E Nicollet Blvd, Suite 170, Burnsville, MN 55337-4828 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BURNSVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Russell L Wavrin.
| 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.