| Jose Manuel Jimenez Vega, MD | |
| 
					9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623  | |
| (651) 265-7575 | |
| (651) 265-7580 | 
| Full Name | Jose Manuel Jimenez Vega | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 9680 Tamarack Rd Ste 130, Woodbury, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619208980 | NPI | - | NPPES | 
| Entity Name | University Of Minnesota Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532  | 
| Entity Name | Fairview Express Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548  | 
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: () -  | Jose Manuel Jimenez Vega, MD 9680 Tamarack Rd Ste 130, Woodbury, MN 55125-2623 Ph: (651) 265-7575  | 
Dr. Bridgette Marie Suri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300  | |
Alicia Marie Osterman Kemp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305  | |
Michele L Peterson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 Fax: 651-232-6711  | |
Chelsey Prall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305  | |
Sara K Sweetser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7803 Afton Rd, Woodbury, MN 55125 Phone: 651-738-0470 Fax: 651-738-8915  | |
Dr. Jennifer M.h. Mccormack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305  | |
Margaret Kelly Tierney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9680 Tamarack Rd Ste 100, Woodbury, MN 55125 Phone: 651-738-0470  |