Leslie A Nussbaum (NPI# 1750358446, PAC ID# 8628155660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1750358446 |
| PAC ID by PECOS | 8628155660 |
| Professional Enrollment ID | I20111221000805 |
| Full Name | Leslie A Nussbaum |
| Organization Legal Name | MINNESOTA NEUROVASCULAR AND SKULL BASE SURGERY |
| Address |
3033 Excelsior Blvd Suite 403 Minneapolis MN 55416-4676 |
| Phone Number | 6123740177 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6608818661 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| 240059 | REGINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3033 Excelsior Blvd, Suite 403, Minneapolis, MN 55416-4676 | 6123740177 | MINNESOTA NEUROVASCULAR AND SKULL BASE SURGERY |
| Organization Legal Name | MINNESOTA NEUROVASCULAR AND SKULL BASE SURGERY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric S Nussbaum | Neurosurgery | Minnesota Neurovascular and Skull Base Surgery | 333 Smith Ave N, Saint Paul, MN 55102-2389 |
| Jodi L Lowary | Nurse Practitioner | Minnesota Neurovascular and Skull Base Surgery | 3033 Excelsior Blvd, Suite 403, Minneapolis, MN 55416-4676 |
| Street Address |
3033 EXCELSIOR BLVD SUITE 403 |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55416-4676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stella Nya Hennen | Ophthalmology | 3033 Excelsior Blvd, Suite 205, Minneapolis, MN 55416-4683 | |
| Fardows Salim | Family Medicine | Fairview Clinics | 3033 Excelsior Blvd, Suite 275, Minneapolis, MN 55416-5149 |
| Amy K Cole | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Minneapolis, MN 55416-4688 |
| Marian L Delaney | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Melissa R Shirriff | Physical Therapy | Fairview Health Services | 3033 Excelsior Blvd, Suite 225, Minneapolis, MN 55416-0026 |
| Jodi L Lowary | Nurse Practitioner | Minnesota Neurovascular and Skull Base Surgery | 3033 Excelsior Blvd, Suite 403, Minneapolis, MN 55416-4676 |
| Gerald F Ronning | Psychiatry | 3033 Excelsior Blvd, Suite 534, Minneapolis, MN 55416-5391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harlan F Mittag | Chiropractic | 6311 Wayzata Blvd, Suite 220, St Louis Park, MN 55416-1245 | |
| Keith Alan Vossel | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Kayla Charlene James | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Shauna Hsiaosan Yuan | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Christa Joyce Reader | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Scott Curran | Clinical Social Worker | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| James Ashe | Neurology | University of Minnesota Physicians | 5775 Wayzata Blvd, Minneapolis, MN 55416-1275 |
| Kathryn Ann Gorres Nice | Occupational Therapy | University of Minnesota Physicians | 5775 Wayzata Blvd, Suite 255, St Louis Park, MN 55416-1275 |
| Frank Melo | Family Practice | Life Clinic Medical Pa | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 |
| Hannah L Tanner | Nurse Practitioner | Life Clinic Medical Pa | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 |
| Find all physicians in zip 55416 | |||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
| Specialty | NEUROSURGERY |
| City + Specialty | MINNEAPOLIS + NEUROSURGERY |
Please comment or provide details below to improve the information on Leslie A Nussbaum.
| 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.