MR. CHARLES E POGEMILLER SR. (NPI# 1063489540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063489540 |
| Entity Type | Individual |
| Full Name | MR. CHARLES E POGEMILLER SR. |
| Credential | MD |
| Practice Address |
1215 Town Centre Dr Eagan MN 55123-1033 |
| Practice Telephone | 6513261515 |
| Practice Fax Number | 6513261519 |
| Mailing Telephone | 6513261515 |
| Mailing Fax Number | 6513261519 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MN22425 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 737885800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568488120 | Charles Edward Pogemiller Jr. | Internal Medicine | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-07-15 |
| Street Address |
1215 TOWN CENTRE DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215227590 | Jozef Lazar | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2011-04-07 |
| 1912167487 | Kathryn Colleen Barlow | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2008-06-09 |
| 1013195791 | Sheila Rae Rodstein | Family Medicine | 1215 Town Centre Dr, Eagan, MN 55123-1033 | 2008-02-05 |
| 1730298910 | Kristina Kelly Shaffer | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-08-30 |
| 1427167691 | Joseph Jacob Shaffer | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-08-30 |
| 1306955802 | Noel Anthony Hauge | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-08-29 |
| 1154386423 | Matthew James Larson | Dermatology | 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811231038 | Steven S Eisenberg | Family Medicine | 3610 Sunwood Trl, Eagan, MN 55123-2417 | 2012-11-15 |
| 1649587403 | John Granville Ward | Family Medicine | 1634 Murphy Pkwy, Home Address No Business Address, Eagan, MN 55122-1753 | 2010-08-31 |
| 1528252764 | Lucas Joel Hammell | Family Medicine | 1654 Diffley Rd Ste 100, Eagan, MN 55122-2237 | 2007-08-30 |
| 1972575470 | David J Caccamo | Family Medicine | 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121-1675 | 2006-02-07 |
| 1700858974 | Raina L Young | Family Medicine | 1654 Diffley Rd, Eagan, MN 55122-2237 | 2006-02-02 |
| 1376515536 | Michelle L Knight | Family Medicine | 1654 Diffley Rd Suite 100 - Mail Stop 34701a, Healthpartners Eagan Clinic, Eagan, MN 55122-2237 | 2006-02-02 |
| 1255310298 | Tara L Broadwater | Family Medicine | 3647 Windtree Ct, Eagan, MN 55123-1314 | 2006-01-10 |
| 1992780712 | Leslie Glen Massoglia | Family Medicine | 4845 Safari Ct N, Eagan, MN 55122-2617 | 2005-12-14 |
| 1265416572 | Suzanne F Permuth | Family Medicine | 1885 Plaza Dr, Park Nicollet Clinic Eagan, Eagan, MN 55122-2612 | 2005-11-30 |
| 1003811464 | David Stuart Kyllo | Family Medicine | 3460 Washington Dr, Ste 102, Eagan, MN 55122-4301 | 2005-06-14 |
| Find all providers in EAGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.