| Aeris Medical Group Pllc | |
|
2820 Inglewood Ave S St Louis Park MN 55416-4112 | |
| (800) 598-9908 | |
| Not Available |
| Full Name | Aeris Medical Group Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2820 Inglewood Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Joseph Greenberg (PRESIDENT) |
| Authorized Official Contact | 9145895503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aeris Medical Group Pllc 5115 Excelsior Blvd St Louis Park MN 55416-2906 Ph: (800) 598-9908 | Aeris Medical Group Pllc 2820 Inglewood Ave S St Louis Park MN 55416-4112 Ph: (800) 598-9908 |
| NPI Number | 1184228520 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 0042624306 |
|---|---|
| Medicare Enrollment ID | O20210127001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184228520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Herickhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245292424 PECOS PAC ID: 8628973203 Enrollment ID: I20031205000495 |
| Provider Name | Susan E Viergever |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851360416 PECOS PAC ID: 3072403427 Enrollment ID: I20040318000741 |
| Provider Name | Viorel Gheorghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033127287 PECOS PAC ID: 3375521347 Enrollment ID: I20040708000198 |
| Provider Name | Mark G Macdonald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124080791 PECOS PAC ID: 6305824129 Enrollment ID: I20040708001463 |
| Provider Name | Melinda Susan Ament |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962588525 PECOS PAC ID: 1153375795 Enrollment ID: I20050308000244 |
| Provider Name | Christa K Hoiland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487605655 PECOS PAC ID: 1254374937 Enrollment ID: I20050603000247 |
| Provider Name | Joseph Yeuk Lung Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255353694 PECOS PAC ID: 0941210983 Enrollment ID: I20060504000509 |
| Provider Name | Rebecca A Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699982876 PECOS PAC ID: 0446334593 Enrollment ID: I20080227000602 |
| Provider Name | Margaret A Bebler |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1528241726 PECOS PAC ID: 7012092364 Enrollment ID: I20080311000245 |
| Provider Name | Marjorie A Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871678367 PECOS PAC ID: 8729170220 Enrollment ID: I20080724000360 |
| Provider Name | Joseph Judah Greenberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114169356 PECOS PAC ID: 7012049794 Enrollment ID: I20100715000439 |
| Provider Name | Norman H Rechsteiner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538222450 PECOS PAC ID: 1456420058 Enrollment ID: I20110505000380 |
| Provider Name | Melissa L Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659630366 PECOS PAC ID: 0446402317 Enrollment ID: I20121129000296 |
| Provider Name | Uchechi C Amajuoyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831320100 PECOS PAC ID: 1850523606 Enrollment ID: I20140410001071 |
| Provider Name | Florence Fon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457746281 PECOS PAC ID: 4789996786 Enrollment ID: I20150706000931 |
| Provider Name | Opeyemi Agboola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775429 PECOS PAC ID: 0648544726 Enrollment ID: I20170928001695 |
| Provider Name | Eleanor Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588251235 PECOS PAC ID: 5496161911 Enrollment ID: I20210309000505 |
| Provider Name | Tsering Wachungtsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245815448 PECOS PAC ID: 6305253899 Enrollment ID: I20210330000375 |
| Provider Name | Mckenzie Marie Brace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416579 PECOS PAC ID: 1254735111 Enrollment ID: I20210813003233 |
| Provider Name | Donna Mae Mullenix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558834390 PECOS PAC ID: 2567855935 Enrollment ID: I20220207002070 |
| Provider Name | Editha Tingas Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158859 PECOS PAC ID: 0143616268 Enrollment ID: I20220329002358 |
| Provider Name | Megan Elizabeth Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942940861 PECOS PAC ID: 7113304387 Enrollment ID: I20220510001790 |
| Provider Name | Laura Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881930915 PECOS PAC ID: 7315192622 Enrollment ID: I20230203001671 |
| Provider Name | Claire-marie Reisenger Kron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097497 PECOS PAC ID: 9335500461 Enrollment ID: I20230804001571 |
| Provider Name | Karen Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376223271 PECOS PAC ID: 7315308335 Enrollment ID: I20230807001808 |
| Provider Name | Matthew Beeson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639457419 PECOS PAC ID: 7113159252 Enrollment ID: I20231213000174 |
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