| Minneapolis Heart Institute At Ridgeview Heart Center, Llc | |
|
500 S Maple St Waconia MN 55387-1752 | |
| (952) 442-7843 | |
| Not Available |
| Full Name | Minneapolis Heart Institute At Ridgeview Heart Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 S Maple St, Waconia, Minnesota |
| Authorized Official Name and Position | Benjamin C Nielsen (DIRECTOR) |
| Authorized Official Contact | 9524422191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minneapolis Heart Institute At Ridgeview Heart Center, Llc Po Box 46100 Plymouth MN 55446-0100 Ph: (763) 553-9920 | Minneapolis Heart Institute At Ridgeview Heart Center, Llc 500 S Maple St Waconia MN 55387-1752 Ph: (952) 442-7843 |
| NPI Number | 1871780478 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 10/02/2007 |
| Medicare PECOS PAC ID | 1254418403 |
|---|---|
| Medicare Enrollment ID | O20080411000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871780478 | NPI | - | NPPES |
| Provider Name | Timothy G Dirks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477513893 PECOS PAC ID: 9032012141 Enrollment ID: I20040128000171 |
| Provider Name | Mark A Houghland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104877059 PECOS PAC ID: 3779476502 Enrollment ID: I20040205001023 |
| Provider Name | Norma L Thiessen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285664409 PECOS PAC ID: 1254225329 Enrollment ID: I20040210000608 |
| Provider Name | Thomas Knickelbine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831151042 PECOS PAC ID: 5890680573 Enrollment ID: I20040220000488 |
| Provider Name | Kathleen A Klardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932160611 PECOS PAC ID: 7517853237 Enrollment ID: I20040227000367 |
| Provider Name | David G Hurrell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194784835 PECOS PAC ID: 6709875560 Enrollment ID: I20040507001009 |
| Provider Name | Kevin M Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760492904 PECOS PAC ID: 3779560925 Enrollment ID: I20040706000693 |
| Provider Name | Scott W Sharkey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932160496 PECOS PAC ID: 9032180872 Enrollment ID: I20040804000921 |
| Provider Name | Peter B Alden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043262629 PECOS PAC ID: 5395738256 Enrollment ID: I20040817001345 |
| Provider Name | Quirino G Orlandi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598729253 PECOS PAC ID: 8921072943 Enrollment ID: I20040824001259 |
| Provider Name | Peter J Stokman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154331320 PECOS PAC ID: 0042284077 Enrollment ID: I20040824001318 |
| Provider Name | John R Lesser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265492862 PECOS PAC ID: 1355248147 Enrollment ID: I20050215000576 |
| Provider Name | Martin Nichloas Burke |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790748796 PECOS PAC ID: 0345288775 Enrollment ID: I20050418000602 |
| Provider Name | Durand E Burns |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538129614 PECOS PAC ID: 8325940794 Enrollment ID: I20060321000165 |
| Provider Name | Yale L Wang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326009960 PECOS PAC ID: 1951318666 Enrollment ID: I20060321000179 |
| Provider Name | Marc Christian Newell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467404707 PECOS PAC ID: 5395758486 Enrollment ID: I20060712000223 |
| Provider Name | Julie A Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093869711 PECOS PAC ID: 1355443805 Enrollment ID: I20070301000299 |
| Provider Name | Jay H Traverse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306807458 PECOS PAC ID: 6608979927 Enrollment ID: I20070307000156 |
| Provider Name | Craig E Strauss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386766111 PECOS PAC ID: 6002914520 Enrollment ID: I20070607000212 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629090196 PECOS PAC ID: 4183628944 Enrollment ID: I20071214000485 |
| Provider Name | Timothy M Sullivan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063484061 PECOS PAC ID: 1557377991 Enrollment ID: I20080128000150 |
| Provider Name | Retu Saxena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437252012 PECOS PAC ID: 7618973892 Enrollment ID: I20080411000149 |
| Provider Name | Ivan J Chavez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417915158 PECOS PAC ID: 6103905880 Enrollment ID: I20080506000699 |
| Provider Name | Daniel L Lips |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598726259 PECOS PAC ID: 5890737266 Enrollment ID: I20080506000709 |
| Provider Name | Michael R Mooney |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619931847 PECOS PAC ID: 1456430131 Enrollment ID: I20080506000721 |
| Provider Name | Michael D Miedema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922275049 PECOS PAC ID: 8921173592 Enrollment ID: I20080815000375 |
| Provider Name | Alex R Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902041296 PECOS PAC ID: 4789734997 Enrollment ID: I20090610000203 |
| Provider Name | Tamara S Langeberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639139892 PECOS PAC ID: 9830241926 Enrollment ID: I20090721000533 |
| Provider Name | Connie S Baumgard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144280280 PECOS PAC ID: 6305999707 Enrollment ID: I20090803000374 |
| Provider Name | Elizabeth A Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992756662 PECOS PAC ID: 1153474465 Enrollment ID: I20090804000733 |
| Provider Name | Raed Husam Abdelhadi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518057413 PECOS PAC ID: 5294760492 Enrollment ID: I20090806000571 |
| Provider Name | Jason Q Alexander |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346328820 PECOS PAC ID: 5395752364 Enrollment ID: I20100317000568 |
| Provider Name | Nedaa Skeik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295768554 PECOS PAC ID: 9133157704 Enrollment ID: I20100716000073 |
| Provider Name | Katarzyna M Hryniewicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093958803 PECOS PAC ID: 2062609092 Enrollment ID: I20101203000057 |
| Provider Name | Benjamin Sun |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245287259 PECOS PAC ID: 5092613141 Enrollment ID: I20110224000381 |
| Provider Name | Jesse M Manunga |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376730093 PECOS PAC ID: 4789854043 Enrollment ID: I20110824000888 |
| Provider Name | Matthew Christopher Chu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891957650 PECOS PAC ID: 3870750987 Enrollment ID: I20120201000414 |
| Provider Name | Michael A Samara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053523613 PECOS PAC ID: 4082714472 Enrollment ID: I20121121000118 |
| Provider Name | Leah A Kuipers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780945014 PECOS PAC ID: 4082867213 Enrollment ID: I20130119000019 |
| Provider Name | Ashenafi M Tamene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114168754 PECOS PAC ID: 0840432662 Enrollment ID: I20130807000631 |
| Provider Name | Mosi Kadin Bennett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396881181 PECOS PAC ID: 1254467350 Enrollment ID: I20130807001003 |
| Provider Name | Judah Arlan Askew |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821288929 PECOS PAC ID: 6204988777 Enrollment ID: I20150529001630 |
| Provider Name | Said Alsidawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518196518 PECOS PAC ID: 4880824374 Enrollment ID: I20150618001274 |
| Provider Name | Megan M Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720460298 PECOS PAC ID: 5698089043 Enrollment ID: I20150730010611 |
| Provider Name | Lauren Joy Hager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215308622 PECOS PAC ID: 6507167384 Enrollment ID: I20151221001671 |
| Provider Name | Joseph Karam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942430491 PECOS PAC ID: 4082846506 Enrollment ID: I20160714002093 |
| Provider Name | Brandon Wiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104152412 PECOS PAC ID: 7113211640 Enrollment ID: I20160805002306 |
| Provider Name | Hayan Al Maluli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972814473 PECOS PAC ID: 5698074292 Enrollment ID: I20161004000711 |
| Provider Name | Steven Michael Bradley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962515874 PECOS PAC ID: 2769583822 Enrollment ID: I20161117000579 |
| Provider Name | Richard Bae |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487684676 PECOS PAC ID: 8022910348 Enrollment ID: I20170426002441 |
| Provider Name | Amy J Cooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376860 PECOS PAC ID: 5597071902 Enrollment ID: I20170608002390 |
| Provider Name | Manjunath Mizar Pai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225299845 PECOS PAC ID: 6002084944 Enrollment ID: I20170612001455 |
| Provider Name | Annika Rose Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790289064 PECOS PAC ID: 3375806045 Enrollment ID: I20180410002737 |
| Provider Name | Joao Luiz Cavalcante |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841408226 PECOS PAC ID: 8628253325 Enrollment ID: I20180814000229 |
| Provider Name | Joshua Michael Buckler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063469146 PECOS PAC ID: 4385669357 Enrollment ID: I20181002001241 |
| Provider Name | Victor Yi Chen Cheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083744403 PECOS PAC ID: 1355230855 Enrollment ID: I20190515001853 |
| Provider Name | David F Miranda Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376807461 PECOS PAC ID: 8527367341 Enrollment ID: I20190529000014 |
| Provider Name | Robert James Fraser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508109786 PECOS PAC ID: 8123261336 Enrollment ID: I20190606001678 |
| Provider Name | Jonathan A Urbach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558718338 PECOS PAC ID: 8628364536 Enrollment ID: I20200526001345 |
| Provider Name | Michael A Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043606924 PECOS PAC ID: 9032417712 Enrollment ID: I20200601001670 |
| Provider Name | Brian M Horst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487858478 PECOS PAC ID: 5294801023 Enrollment ID: I20210802002509 |
| Provider Name | Nadira Hamid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184039067 PECOS PAC ID: 4284989864 Enrollment ID: I20220727002141 |
| Provider Name | Carly Leah Lodewyks |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1295400471 PECOS PAC ID: 3072919059 Enrollment ID: I20220830003021 |
| Provider Name | Christopher Wesley Pedersen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619331717 PECOS PAC ID: 2668762998 Enrollment ID: I20230815003200 |
Lakeview Clinic, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1547 | |
Ridgeview Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 South Maple Street, Suite 220, Waconia, MN 55387 Phone: 952-442-8011 | |
Odom Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Cherry St, Waconia, MN 55387 Phone: 952-856-4722 | |
Ridgeview Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 Fax: 952-442-8052 |