Premise Health Of Minnesota Medical P C | |
930 Blue Gentian Rd Ste 1000 Eagan MN 55121-1675 | |
(651) 447-4936 | |
Not Available |
Full Name | Premise Health Of Minnesota Medical P C |
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Speciality | Clinic/Center |
Location | 930 Blue Gentian Rd Ste 1000, Eagan, Minnesota |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premise Health Of Minnesota Medical P C 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Minnesota Medical P C 930 Blue Gentian Rd Ste 1000 Eagan MN 55121-1675 Ph: (651) 447-4936 |
NPI Number | 1205558053 |
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Provider Enumeration Date | 09/16/2022 |
Last Update Date | 09/16/2022 |
Medicare PECOS PAC ID | 0345784765 |
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Medicare Enrollment ID | O20240626003602 |
Identifier | Type | State | Issuer |
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1205558053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Stephen Timothy Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1023107950 PECOS PAC ID: 8527001874 Enrollment ID: I20050607000999 |
Provider Name | Kimberly P Turinske |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902817141 PECOS PAC ID: 9830001965 Enrollment ID: I20060425000006 |
Provider Name | David Caccamo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972575470 PECOS PAC ID: 6507996576 Enrollment ID: I20100617000870 |
Provider Name | Emily E Bunt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720482565 PECOS PAC ID: 9537482559 Enrollment ID: I20141226000028 |
Provider Name | Kevin M Switalski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649709254 PECOS PAC ID: 9133499361 Enrollment ID: I20170721000044 |
Provider Name | Garth William Strobel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962988980 PECOS PAC ID: 7315282647 Enrollment ID: I20181214001371 |
Provider Name | Sarah Green |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790045938 PECOS PAC ID: 4789823196 Enrollment ID: I20240710002988 |
Provider Name | Tara Smith |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801344148 PECOS PAC ID: 4486190188 Enrollment ID: I20240718000491 |
Provider Name | Fahmo Hans |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083346621 PECOS PAC ID: 9335684927 Enrollment ID: I20240801003996 |
Provider Name | Andrea Mali Steinberger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063176410 PECOS PAC ID: 0446781256 Enrollment ID: I20241003003980 |
Hill Ventures, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 Diffley Rd Ste 600, Eagan, MN 55123 Phone: 877-442-4476 | |
Thriving Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1875 Plaza Dr Ste 12, Eagan, MN 55122 Phone: 612-716-8019 Fax: 651-858-3283 | |
Pediatric And Young Adult Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3470 Washington Dr, Suite 201, Eagan, MN 55122 Phone: 651-256-6706 Fax: 651-256-6766 |