| Zachary Patrick Kaltenborn, MD | |
|
640 Jackson Street, St. Paul, MN 55101-2502 | |
| (651) 254-3456 | |
| (651) 254-9673 |
| Full Name | Zachary Patrick Kaltenborn |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 640 Jackson Street, St. Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790077873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 58076 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 58076 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Health Services | 1951213057 | 673 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Patrick Kaltenborn, MD 8170 33rd Ave S, Minneapolis, MN 55425-4516 Ph: (651) 254-3456 | Zachary Patrick Kaltenborn, MD 640 Jackson Street, St. Paul, MN 55101-2502 Ph: (651) 254-3456 |
Kristin Lb Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 | |
Carrie Leigh Pettey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Avenue 302, Childrens Primary Clinic Stpl, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 | |
Philip A Gasseling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, St. Paul, MN 55108 Phone: 952-853-8800 Fax: 651-641-6205 | |
Jennifer C Koziol Wozniak, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564 | |
Debra A Weimerskirch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Children's Hospitals And Clinics Emergency Physicians, St. Paul, MN 55102 Phone: 651-220-6914 Fax: 651-220-6999 | |
Rachel Sarah Darling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Calley A. Lidle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 233 Grand Avenue, St. Paul, MN 55102 Phone: 651-227-7806 Fax: 651-256-6707 |