John P Eikens, MD
Individual provider Active NPI Family Medicine Physician · Wyoming, MN
NPI 1104844604 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1104844604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 28505 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 982-7000
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060302000429 | MN | Practitioner - Family Practice | 6103832944 | Reassigns benefits to 6 organizations |
| I20230628001698 | AZ | Practitioner - Family Practice | 6103832944 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28505 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Woodwinds Hospital | Current |
Accepting new patients | |
| Healtheast Care System | Current |
Accepting new patients | |
| Landmark Medical of Tennessee PC | Current |
Accepting new patients | |
| Fairview Bethesda Hospital | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Landmark Medical of Tennessee PC | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Family Medicine | Current |
Accepting new patients |
| Healtheast St. John'S Hospital | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients |
Locations
15333 N Pima Rd
Ste 305
Scottsdale, AZ 85260
Phone (480) 225-3236
7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112
8300 Norman Center Dr
Ste 230
Bloomington, MN 55437
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
11725 Stinson Ave
Chisago City, MN 55013
Phone (651) 257-8421
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Interoperability endpoints
- ms_jeikens@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28505 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Other practice location 1
102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (866) 949-0108
Other practice location 2
8300 Norman Center Dr Ste 230
Bloomington, MN 55437-1050
Phone (866) 949-0108
Other providers in Wyoming, MN
- Amy Beth Dronen
- Ebenezer Lakes Assisted Living
- Ebenezer Lakes Assisted Living
- Ebenezer Society, LLC
- Michael Donald Eichler
- Terrence Ellis
- Carlton R Erickson
- Gunnar Jon Erickson
- Susan Lynn Ertel
- Randall G Ewald
All providers in Wyoming, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.