Martin L Immerman (NPI# 1558333781, PAC ID# 9032002118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1558333781 |
| PAC ID by PECOS | 9032002118 |
| Professional Enrollment ID | I20110516000559 |
| Full Name | Martin L Immerman |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
6525 France Ave S Edina MN 55435-2148 |
| Phone Number | 9522856140 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6525 France Ave S, Edina, MN 55435-2148 | 9522856140 | FAIRVIEW HEALTH SERVICES |
| 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 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| 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 |
| Street Address |
6525 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip | 55435-2148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert C Wilke | Plastic and Reconstructive Surgery | Edina Plastic Surgery | 6525 France Ave S, Suite 300, Edina, MN 55435-2177 |
| Randolph K Peterson | Pathology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| William J Utz | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Paul T Fadden | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Chase K Sovell | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Erin A Collins | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Anna S Masters | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Mary C Homan | Family Medicine | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Maria A Cremer | Obstetrics/gynecology | Fairview Health Services | 6525 France Ave S, Edina, MN 55435-2148 |
| Matthew R Braasch | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan F Hunt | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Laura Loeding Bechtold | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Bonnie L Glenzinski | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Kimberly Lynn Mcclintick | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Susan E Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Julie A Stauffer | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Meredith N Butulis | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Breanna N Smith | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| David Gesensway | Hand Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Christopher M Larson | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Find all physicians in zip 55435 | |||
| City | EDINA |
| Zip Code | 55435 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | EDINA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Martin L Immerman.
| 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.