Promise C Amajiri (NPI# 1164898953, PAC ID# 9638486178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164898953 |
| PAC ID by PECOS | 9638486178 |
| Professional Enrollment ID | I20150916002481 |
| Full Name | Promise C Amajiri |
| Organization Legal Name | OAK RIDGE CENTER PLLC |
| Address |
14665 Galaxie Ave Suite 210 Apple Valley MN 55124-4510 |
| Phone Number | 9524316033 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365339322 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 | 9524316033 | OAK RIDGE CENTER PLLC |
| 1875 Woodwinds Dr, Suite 240, Woodbury, MN 55125-2517 | 6513262328 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Organization Legal Name | OAK RIDGE CENTER PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill R Toliver | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven H Lutzwick | Psychiatry | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven C Severson | Clinical Social Worker | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Robert L Peterson | Psychologist, Clinical | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Sarah Robinson-hudson | Clinical Psychologist | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 140, Apple Valley, MN 55124-4509 |
| Street Address |
14665 GALAXIE AVE SUITE 210 |
| City | APPLE VALLEY |
| State | MN |
| Zip | 55124-4510 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill R Toliver | Nurse Practitioner | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven H Lutzwick | Psychiatry | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Steven C Severson | Clinical Social Worker | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Robert L Peterson | Psychologist, Clinical | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 210, Apple Valley, MN 55124-4510 |
| Sarah Robinson-hudson | Clinical Psychologist | Oak Ridge Center Pllc | 14665 Galaxie Ave, Suite 140, Apple Valley, MN 55124-4509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nkeiruka Sylvia Anyiam | Nurse Practitioner | Minuteclinic Diagnostic Pa | 3633 Bunker Lake Blvd Nw, Andover, MN 55124 |
| Anthony M Felten | Chiropractic | 15322 Galaxie Ave, Suite 110, Apple Valley, MN 55124-3149 | |
| Samantha A Huguelet | Certified Clinical Nurse Specialist (cns) | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Hilary A Winkelmann | Nurse Practitioner | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Carmen R Adams | Clinical Social Worker | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Rachael Britton | Psychologist, Clinical | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| William Jay Reuland | Clinical Social Worker | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Kristen L Rivera | Psychologist, Clinical | Nystrom and Associates Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Gene A Johnson | Clinical Psychologist | Nystrom and Associates, Ltd | 7300 147th St W, Suite 204, Apple Valley, MN 55124-4517 |
| Jason A Senecal | Chiropractic | 14135 Cedar Ave, Suite 400, Apple Valley, MN 55124-4526 | |
| Find all physicians in zip 55124 | |||
| City | APPLE VALLEY |
| Zip Code | 55124 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | APPLE VALLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Promise C Amajiri.
| 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.