| Ridgeview Clinics | |
|
4695 Shoreline Dr Spring Park MN 55384-9715 | |
| (952) 442-7890 | |
| (952) 442-7897 |
| Full Name | Ridgeview Clinics |
|---|---|
| Speciality | Family Medicine |
| Location | 4695 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Robert Stevens (CEO) |
| Authorized Official Contact | 9524422191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Clinics 4695 Shoreline Dr Spring Park MN 55384-9715 Ph: (952) 442-7890 | Ridgeview Clinics 4695 Shoreline Dr Spring Park MN 55384-9715 Ph: (952) 442-7890 |
| NPI Number | 1659389310 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587559612 |
|---|---|
| Medicare Enrollment ID | O20040218000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659389310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25217 (Minnesota) | Primary |
| Provider Name | Matthew E Herold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336195262 PECOS PAC ID: 4284687492 Enrollment ID: I20050301000020 |
| Provider Name | Todd A Holcomb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184703951 PECOS PAC ID: 2860487139 Enrollment ID: I20050715000901 |
| Provider Name | Daniel A Keeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073627220 PECOS PAC ID: 5991790271 Enrollment ID: I20050719000794 |
| Provider Name | Joachim W Schugel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578543583 PECOS PAC ID: 1658300835 Enrollment ID: I20050808000945 |
| Provider Name | Michael D Lano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407857758 PECOS PAC ID: 2961426846 Enrollment ID: I20060118000612 |
| Provider Name | John W Larsen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497863401 PECOS PAC ID: 3577522192 Enrollment ID: I20061204000363 |
| Provider Name | Amy M Kloke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356598544 PECOS PAC ID: 3274697677 Enrollment ID: I20090129000663 |
| Provider Name | Bruce J Hubbard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043266976 PECOS PAC ID: 3173513470 Enrollment ID: I20090618000561 |
Population Health Management Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4142 Shoreline Dr, Spring Park, MN 55384 Phone: 866-305-0622 | |
Novus Healthcare Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Shoreline Dr, Spring Park, MN 55384 Phone: 612-242-9517 | |
Senior Care Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Shoreline Dr, Spring Park, MN 55384 Phone: 952-923-1028 | |
Golden Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4142 Shoreline Dr, Spring Park, MN 55384 Phone: 866-305-0622 | |
Ridgeview Westonka Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7892 | |
Golden Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4142 Shoreline Dr, Spring Park, MN 55384 Phone: 612-470-4400 |