Dr Juan Carlos Samayoa Escobar, MD | |
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
(612) 672-6000 | |
Not Available |
Full Name | Dr Juan Carlos Samayoa Escobar |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 2450 Riverside Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629411970 | NPI | - | NPPES |
1629411970 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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2080P0202X | Pediatrics - Pediatric Cardiology | MD61213463 (Washington) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 72902 (Minnesota) | Primary |
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Mailing Address | Practice Location Address |
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Dr Juan Carlos Samayoa Escobar, MD 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: () - | Dr Juan Carlos Samayoa Escobar, MD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |
Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |