Minneapolis Clinic of Neurology, LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MINNEAPOLIS CLINIC OF NEUROLOGY, LTD

Practice address

4225 Golden Valley Rd
Golden Valley, MN 55422-4215

Phone

(763) 588-0661

Fax

(763) 287-2310

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Charles Haugen Horowitz, M.D.NPI 1992745525

Title

President

Phone

(763) 302-4114

Specialties & licenses 7

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayasri Alapati, MD

  • Neurology Physician
  • Coon Rapids, MN
  • NPI 1043565757
  Medicare reassignment Care Compare group NPD
• Janiece Marie Aldinger, M.D.

  • Neurology Physician
  • Edina, MN
  • NPI 1194779389
  Medicare reassignment Care Compare group NPD
• Irfan Mohammad Altafullah, M.B., B.S.

  • Neurology Physician
  • Golden Valley, MN
  • NPI 1437103629
  Medicare reassignment Care Compare group NPD
• Uchechi Chidinma Amajuoyi, NP

  • Nurse Practitioner
  • Golden Valley, MN
  • NPI 1831320100
  Medicare reassignment Care Compare group NPD
• Rebecca Anne Arenson, NP

  • Nurse Practitioner
  • St Louis Park, MN
  • NPI 1376996736
  Medicare reassignment Care Compare group NPD
• Raluca F Banica-Wolters, MD

  • Neurology Physician
  • Edina, MN
  • NPI 1699741058
  Medicare reassignment Care Compare group NPD
• Elias Bazakos, M.D.

  • Neurology Physician
  • Coon Rapids, MN
  • NPI 1437276573
  Medicare reassignment Care Compare group NPD
• Gurdesh Singh Bedi, MD

  • Neurology Physician
  • Burnsville, MN
  • NPI 1992908826
  Medicare reassignment Care Compare group NPD
• Stuart Bergman-Bock, M.D.

  • Neurology Physician
  • Burnsville, MN
  • NPI 1639463185
  Medicare reassignment Care Compare group NPD
• Brent Berry, M.D./PH.D.

  • Neurology Physician
  • Golden Valley, MN
  • NPI 1013263011
  Medicare reassignment Care Compare group NPD
• Catherine Boissoneault, DPT

  • Neurology Physical Therapist
  • Minneapolis, MN
  • NPI 1699469932
  Medicare reassignment Care Compare group NPD
• Anneka Marie Boomsma, DPT

  • Physical Therapist
  • Maple Grove, MN
  • NPI 1598461352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1992739247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224215",
            "telephone_number": "763-588-0661",
            "fax_number": "763-287-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224215",
            "telephone_number": "763-588-0661",
            "fax_number": "763-287-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS CLINIC OF NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HAUGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-302-4114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32833200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784810200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE CLINIC #",
            "identifier": "100273",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PROVIDER #",
            "identifier": "11651MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE CLINIC #",
            "identifier": "96287",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah L Miller, LMFT
• Louis Millman
• Eric Andrew Mills, D.M.D.
• Mindful Resilience LLC
• Gerald G Mindrum, M.D.
• Minneapolis Health Clinic PLLC
• Minneapolis Ophthalmology ASC LLC (Minneapolis Eye Center)
• Minnesota Behavioral Resources LLC
• Minnesota Dental Implant Center (The Dental Implant Center)
• Minnesota Emergency Communications Team

• Neurology Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Neurology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.