| Voyage Healthcare | |
|
9201 W Broadway Ave Ste 601 Brooklyn Park MN 55445-1924 | |
| (763) 587-7900 | |
| (763) 587-7066 |
| Full Name | Voyage Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Scott R Colson (PRESIDENT) |
| Authorized Official Contact | 7635877900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Voyage Healthcare 9201 W Broadway Ave Suite 601 Brooklyn Park MN 55445-1923 Ph: (763) 587-7900 | Voyage Healthcare 9201 W Broadway Ave Ste 601 Brooklyn Park MN 55445-1924 Ph: (763) 587-7900 |
| NPI Number | 1114962206 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 12/23/2022 |
| Medicare PECOS PAC ID | 2769384205 |
|---|---|
| Medicare Enrollment ID | O20040123000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114962206 | NPI | - | NPPES |
| Provider Name | Mancel T Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083681845 PECOS PAC ID: 0749243897 Enrollment ID: I20041109000981 |
| Provider Name | Karen L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457307191 PECOS PAC ID: 2062469232 Enrollment ID: I20050331000569 |
| Provider Name | Isaac Felemovicius |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881649291 PECOS PAC ID: 4789641978 Enrollment ID: I20061101000068 |
| Provider Name | Kurt S Partoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659307205 PECOS PAC ID: 6608912241 Enrollment ID: I20091012000461 |
| Provider Name | David C Smiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437189057 PECOS PAC ID: 9133267420 Enrollment ID: I20091106000055 |
| Provider Name | Darrell A Krieger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366470825 PECOS PAC ID: 8426196726 Enrollment ID: I20091106000132 |
| Provider Name | Jeffrey L Bakke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477581320 PECOS PAC ID: 2567586779 Enrollment ID: I20100825000118 |
| Provider Name | Daniel S Cohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740218221 PECOS PAC ID: 6901920115 Enrollment ID: I20100825000151 |
| Provider Name | Scott Colson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760418115 PECOS PAC ID: 7517098015 Enrollment ID: I20100825000183 |
| Provider Name | Leslee J Jaeger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346286838 PECOS PAC ID: 4082738208 Enrollment ID: I20100825000300 |
| Provider Name | Pamela S Jaworski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396781241 PECOS PAC ID: 2961526181 Enrollment ID: I20100825000340 |
| Provider Name | Jerome P Merkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861438228 PECOS PAC ID: 0941324172 Enrollment ID: I20100825000375 |
| Provider Name | Gary A Nisius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518995042 PECOS PAC ID: 2365566593 Enrollment ID: I20100825000415 |
| Provider Name | Sherry A Paulson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700815230 PECOS PAC ID: 4880718014 Enrollment ID: I20100825000457 |
| Provider Name | John D Schaffhausen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912936428 PECOS PAC ID: 5496879637 Enrollment ID: I20100825000514 |
| Provider Name | Thomas T Swan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598795155 PECOS PAC ID: 3870617020 Enrollment ID: I20100825000613 |
| Provider Name | Pete A Pooler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164451662 PECOS PAC ID: 2264529437 Enrollment ID: I20100910001110 |
| Provider Name | Asim S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073557641 PECOS PAC ID: 0446444145 Enrollment ID: I20101026001507 |
| Provider Name | Heather L Labere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740424738 PECOS PAC ID: 2567632599 Enrollment ID: I20110831000455 |
| Provider Name | Moushumi Meher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114153368 PECOS PAC ID: 8729103940 Enrollment ID: I20120829000179 |
| Provider Name | Tiffany T Panait |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1023276789 PECOS PAC ID: 1658529995 Enrollment ID: I20120912000221 |
| Provider Name | Cristen J Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083893705 PECOS PAC ID: 1658516042 Enrollment ID: I20130408000463 |
| Provider Name | Kristin Lori Kipka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063779973 PECOS PAC ID: 9133360779 Enrollment ID: I20130724000908 |
| Provider Name | Kyle R Barker |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154583631 PECOS PAC ID: 5092935676 Enrollment ID: I20141002000513 |
| Provider Name | Megan G Bina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114216355 PECOS PAC ID: 2264658277 Enrollment ID: I20150805009280 |
| Provider Name | Jacinda E Siberio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083904049 PECOS PAC ID: 3274848643 Enrollment ID: I20150813010642 |
| Provider Name | Sarah K Tillman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558624171 PECOS PAC ID: 7810286564 Enrollment ID: I20160817000087 |
| Provider Name | Rebecca K Mullin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487094363 PECOS PAC ID: 7810276078 Enrollment ID: I20161111000962 |
| Provider Name | Katie A Corcoran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164834826 PECOS PAC ID: 7315214145 Enrollment ID: I20170530000862 |
| Provider Name | Alexandra Tsvilina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164801536 PECOS PAC ID: 9032415518 Enrollment ID: I20180322000231 |
| Provider Name | Caitlin R Kuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033521059 PECOS PAC ID: 5496004715 Enrollment ID: I20180821000071 |
| Provider Name | Maggien H Skogman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922593458 PECOS PAC ID: 6002167343 Enrollment ID: I20180925003145 |
| Provider Name | Risa G Bache-wiig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417453366 PECOS PAC ID: 1456608892 Enrollment ID: I20190814004032 |
| Provider Name | Daniel Steven Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518311539 PECOS PAC ID: 2264731835 Enrollment ID: I20200131001738 |
| Provider Name | Shelby Rae Spandl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528327160 PECOS PAC ID: 0648600056 Enrollment ID: I20200428000114 |
| Provider Name | Samir Ashwin Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407386881 PECOS PAC ID: 1456620848 Enrollment ID: I20210713001840 |
| Provider Name | Kaitlyn L. Laube Ward |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265844385 PECOS PAC ID: 1456646868 Enrollment ID: I20220915002695 |
| Provider Name | Emily K Lund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891315636 PECOS PAC ID: 7416369970 Enrollment ID: I20230731001468 |
| Provider Name | Mollie Kae Ness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578245296 PECOS PAC ID: 3678929841 Enrollment ID: I20231024002240 |
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