Allina Health Heart and Vascular Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC

Practice address

Allina Health Heart and Vascular Surgery Center LLC
7373 France Ave S, Suite 404
Edina, MN 55435-4534

Phone

(205) 641-3423

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Teske

Title

Licensure Enrollment Manager

Phone

(205) 641-3423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Listed as

Allina Health Heart and Vascular Surgery Center LLCCCN 24C0001114

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Allina Health System

  dba Sharpe, Dillon, Cockson & Associates

  • Clinic/Center
  • Edina, MN
  • NPI 1972888428

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1679235584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC",
            "address_2": "7373 FRANCE AVE S, ST 404",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC",
            "address_2": "7373 FRANCE AVE S, SUITE 404",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "205-641-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LICENSURE ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "205-641-3423"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Ann Allen
• Michael Scott Allen, MD
• Payton Allen, PT, DPT
• Rachel Elizabeth Allgor, AU.D.
• Allied Professionals, Inc.
• Allina Health System (Allina Health Center Institute - Centennial Lakes)
• Allina Health System (Minnesota Perinatal Physicians Edina)
• Allina Health System (Allina Health Urgent Care Centennial Lakes)
• Allina Health System (Allina Health Orthopedics)
• Allina Health System (Allina Health Centennial Lakes Clinic)

• Ambulatory Surgical Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.