| Consultative Health And Medicine, Pa | |
|
5520 Ridgewood Cv Minnetrista MN 55364-8239 | |
| (612) 868-0136 | |
| (952) 472-3837 |
| Full Name | Consultative Health And Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5520 Ridgewood Cv, Minnetrista, Minnesota |
| Authorized Official Name and Position | Chris James Johnson (PRESIDENT) |
| Authorized Official Contact | 6128680136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultative Health And Medicine, Pa 5520 Ridgewood Cv Minnetrista MN 55364-8239 Ph: (612) 868-0136 | Consultative Health And Medicine, Pa 5520 Ridgewood Cv Minnetrista MN 55364-8239 Ph: (612) 868-0136 |
| NPI Number | 1710281647 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 6305024373 |
|---|---|
| Medicare Enrollment ID | O20110621000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710281647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1547 (Minnesota) | Primary |
| Provider Name | Lisa G Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578572806 PECOS PAC ID: 7810940780 Enrollment ID: I20050303000035 |
| Provider Name | Megan M Danielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720265184 PECOS PAC ID: 0840375820 Enrollment ID: I20080314000519 |
| Provider Name | Daniel J Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669449674 PECOS PAC ID: 1759338213 Enrollment ID: I20080404000792 |
| Provider Name | Erin P Emerson Egginton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609040054 PECOS PAC ID: 6305909938 Enrollment ID: I20090108000334 |
| Provider Name | Chris J Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104800267 PECOS PAC ID: 1759448046 Enrollment ID: I20090401000416 |
| Provider Name | Sadie A Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878763 PECOS PAC ID: 3173771144 Enrollment ID: I20120917000418 |
| Provider Name | Annerhe C Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568892198 PECOS PAC ID: 6406088517 Enrollment ID: I20140403001589 |
| Provider Name | Kate Chies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003230020 PECOS PAC ID: 7911139191 Enrollment ID: I20140423000443 |
| Provider Name | Katilyn M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043395361 PECOS PAC ID: 4082831136 Enrollment ID: I20140813001041 |
| Provider Name | Teresa K Mccartney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730579335 PECOS PAC ID: 8527386549 Enrollment ID: I20150422002150 |
| Provider Name | Kyndra Y Steffes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699129478 PECOS PAC ID: 6002115623 Enrollment ID: I20160504000502 |
| Provider Name | Bree Yaeger Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268772 PECOS PAC ID: 0941595391 Enrollment ID: I20160824000606 |
Integrity Wound Care Mn Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Creekside Way, Minnetrista, MN 55331 Phone: 320-582-7713 |