Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801873344 Individual Practitioner Male Practitioner

Dr. Russell G Smidt , MD

Pediatrics • Eagan, MN

Professional Overview & Biography Verified Profile Summary

Dr. Russell Smidt, MD is a registered healthcare professional specializing in Pediatrics in Eagan, MN. Practice services are available at 1885 PLAZA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1885 Plaza Dr
Park Nicollet Clinic - Eagan

Eagan, MN 551222612

Telephone 9529934001
Fax 9529934075
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Eagan, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Eagan, MN (1325 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 38657

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Jeffrey Mohr , PA-C

Physician Assistant - Medical

NPI 1013271378

Physician Assistant (Certified)

Rosa Grebin , AGNP-C

Nurse Practitioner

NPI 1013766179

Adult-Gerontology Nurse Practitioner (Certified)

Jori Shore

Nurse Practitioner - Family

NPI 1013994532
Mary Tolsma , PA

Physician Assistant

NPI 1023425402

Physician Assistant

Clare Macdonald-Sexton , LICSW

Social Worker - Clinical

NPI 1043443500

Licensed Independent Clinical Social Worker

John Edwards

Obstetrics & Gynecology

NPI 1093790453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2011

Registered at 1885 PLAZA DR, PARK NICOLLET CLINIC - EAGAN, EAGAN, MN 551222612 (Tel: 9529934001)

📍
Updated Business Mailing Address October 06, 2011

Registered at 6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 554261728 (Tel: 9529937169)

👤
Provider Name / Credentials Updated October 06, 2011

Recorded as RUSSELL SMIDT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Pediatrics (License #38657 in MN)

🟢
Initial NPI Registration & Enumeration December 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801873344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2005
Last Update: October 06, 2011
Sole Proprietor: No

Mailing Address

6465 Wayzata Blvd, Ste 315

St Louis Park, MN 554261728

Phone: 9529937169

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.