Dwenda Kay Gjerdingen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23332 Issued in MN

Practice address

Ufp Bethesda Clinic
580 Rice Street
Saint Paul, MN 55103

Phone

(651) 227-6551

Fax

(651) 665-0684

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Minnesota Physicians

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1477598118
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699707315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UFP BETHESDA CLINIC",
            "address_2": "580 RICE STREET",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "651-227-6551",
            "fax_number": "651-665-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UFP BETHESDA CLINIC",
            "address_2": "580 RICE STREET",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "651-227-6551",
            "fax_number": "651-665-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJERDINGEN",
        "first_name": "DWENDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "23332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883893300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1000626",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "100517",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP19905",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ODO40GJ",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY & CHOICE",
            "identifier": "01-22151",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "768133",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Faye Girod, LMT, NCTMB
• Andrea Giudice, CRNA
• Molly Christine Given, PTA
• Giving Hope Homes, Inc
• Robyn L Gizzi, CPNP
• Kathleen R Gjevre, LADC, LPCC
• Matthew Thomas Gjovig, RN, SRNA
• Lou Salet Glad, MD
• Samuel C Glade, DPT
• Sarah Glaser, PA-C

• Family Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.