Active NPI
Mark Andrew Ciagne, M.D.
- Occupational Medicine Physician
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 52759
- Practice address
- 11672 Elm Creek Blvd N
Maple Grove, MN 55369-2231 - Phone
- (763) 416-4444
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 52759 | MN | |
| Occupational Medicine Physician | 2083X0100X | 52759 | MN | Primary |
Addresses
Primary practice location
11672 Elm Creek Blvd N
Maple Grove, MN 55369-2231
Mailing address
2001 Butterfield Rd Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Preventive Medicine
- Education
- Creighton University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1421 Wayzata Blvd
Suite 200
Wayzata, MN 55391-2071
Phone (952) 232-6132
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52759 | MN | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Cities Cardiology | Current | Accepting new patients | |
| Interventional Spine and Pain Physicians, PA | Current | Accepting new patients | |
| American Current Care of Minnesota PC | Current | Accepting new patients | |
| Anesthesia Associates, PLLC | Past | Accepting new patients |
Locations
10190 Baltimore St NE
Ste 100
Blaine, MN 55449
Phone (763) 780-8264
14000 Nicollet Ave
Ste 104
Burnsville, MN 55337
916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172
7700 France Ave S
Ste 260
Edina, MN 55435
9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193
1421 Wayzata Blvd
Ste 200
Wayzata, MN 55391
Phone (952) 232-6132
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Edina, MN
- NPI 1710719257
-
- Specialist
- Maple Grove, MN
- NPI 1326398561
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1548749286
MN
-
- Specialist
- Maple Grove, MN
- NPI 1104176205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1861670028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 300",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151069",
"telephone_number": "630-725-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11672 ELM CREEK BLVD N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553692231",
"telephone_number": "763-416-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIAGNE",
"first_name": "MARK",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MN",
"license": "52759",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MN",
"license": "52759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.