Jeanine M Edstrom (NPI# 1447560693, PAC ID# 9234310871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1447560693 |
| PAC ID by PECOS | 9234310871 |
| Professional Enrollment ID | I20110302000181 |
| Full Name | Jeanine M Edstrom |
| Organization Legal Name | MINNESOTA GASTROENTEROLOGY PA |
| Address |
1575 Beam Ave Maplewood MN 55109-1126 |
| Phone Number | 6512327000 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123016557 |
| Number of Group Practice Members | 190 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Nicollet E Blvd, Hospital, Burnsville, MN 55337-5714 | 6128922121 | MINNESOTA GASTROENTEROLOGY PA |
| 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1343 | 6128711145 | MINNESOTA GASTROENTEROLOGY PA |
| 6401 France Ave S, Edina, MN 55435-2104 | 9529245000 | MINNESOTA GASTROENTEROLOGY PA |
| 1575 Beam Ave, Maplewood, MN 55109-1126 | 6512327000 | MINNESOTA GASTROENTEROLOGY PA |
| 15700 37th Ave N, Plymouth, MN 55446-3399 | 6128711145 | MINNESOTA GASTROENTEROLOGY PA |
| 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 | 6128711145 | MINNESOTA GASTROENTEROLOGY PA |
| 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2085 | MINNESOTA GASTROENTEROLOGY PA |
| Organization Legal Name | MINNESOTA GASTROENTEROLOGY PA |
| Physicians | 166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rank | Gastroenterology | Minnesota Gastroenterology Pa | 237 Radio Dr, Suite 210, Woodbury, MN 55125-5805 |
| Erica N Roberson | Gastroenterology | Minnesota Gastroenterology Pa | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2085 |
| Yan G Bakman | Gastroenterology | Minnesota Gastroenterology Pa | 9145 Springbrook Nwdr, Suite 200, Coon Rapids, MN 55433-5885 |
| Gina Storrs | Nurse Practitioner | Minnesota Gastroenterology Pa | 9145 Springbrook Dr Nw, Suite 301, Coon Rapids, MN 55433-5885 |
| Kent R Pickrell | Certified Registered Nurse Anesthetist (crna) | Minnesota Gastroenterology Pa | 3001 Broadway St Ne, Suite 500, Minneapolis, MN 55413-2197 |
| Panagiotis H Panagiotakis | Gastroenterology | Minnesota Gastroenterology Pa | 5705 W Old Shakopee Rd, Suite 150, Bloomington, MN 55437-3107 |
| Michelle S Kennedy | Gastroenterology | Minnesota Gastroenterology Pa | 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1343 |
| Heather N Miller | Physician Assistant | Minnesota Gastroenterology Pa | 800 28th St E, Hospital, Minneapolis, MN 55407-3723 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Zongyu J Chen | Gastroenterology | Minnesota Gastroenterology Pa | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2085 |
| Street Address |
1575 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip | 55109-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Lori A Fisher | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Rahul Koranne | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mark K Thalacker | Nurse Practitioner | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Ryan H Ban | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Khin N Aung | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Justine M Lindgren | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Stephanie M Donnelly | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Molly K Herseth | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blackburn | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| James P Davig | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| Jane C Dever | Psychiatry | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| David H Hess | Optometry | 1431 Beam Ave, Maplewood, MN 55109-1064 | |
| Joseph Yeuk Lung Lee | Nephrology | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Elizabeth Hauser Cameron | Radiation Oncology | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Seng-chee Lee | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Sima Kavand | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Marilyn A Harder | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mallory Ann Lukan | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in zip 55109 | |||
| City | MAPLEWOOD |
| Zip Code | 55109 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MAPLEWOOD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeanine M Edstrom.
| 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.