TIMOTHY DOUGLAS OLDENKAMP (NPI# 1114141330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114141330 |
| Entity Type | Individual |
| Full Name | TIMOTHY DOUGLAS OLDENKAMP |
| Credential | PT |
| Practice Address |
605 Main Street Starbuck MN 56381 |
| Mailing Address |
605 Main Street Po Box 40 Starbuck MN 56381 |
| Practice Telephone | 3202392217 |
| Practice Fax Number | 3202397144 |
| Mailing Telephone | 3202392217 |
| Mailing Fax Number | 3202397144 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7086 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 6406167 | 01 |
| MN | UCARE | 122234 | 01 |
| MN | BLUE CROSSBLUE SHIELD | 057H8OL | 01 |
| Street Address |
605 MAIN STREET |
| City | STARBUCK |
| State | MN |
| Zip Code | 56381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343669 | Minnewaska Lutheran Home | Skilled Nursing Facility | 605 Main Street, Starbuck, FM 56381 | 2005-06-01 |
| 1730471913 | Laura Deann Femrite | Physical Therapist | 605 Main Street, Starbuck, MN 56381-0040 | 2011-05-06 |
| 1215151469 | Renea L Steenblock | Specialist | 605 Main Street, Starbuck, MN 56381 | 2007-04-12 |
| 1457575672 | Katherine E Danielson | Specialist | 605 Main Street, Starbuck, MN 56381 | 2007-04-11 |
| 1992811434 | Minnewaska Home Care Inc | Home Health | 605 Main Street, Starbuck, MN 56381-0040 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811145345 | Foster Donald Bucher | Family Medicine | 919 North Main St., Starbuck, MN 56381 | 2008-09-09 |
| 1831268812 | Edward C Modahl | Psychologist | 500 John St, Minnewaska Area Schools Day Treatment Program, Starbuck, MN 56381 | 2006-11-06 |
| 1265591291 | Alicia Leah Oeltjen | Social Worker | 500 John St, Minnewaska Area Schools Day Treatment Program, Starbuck, MN 56381 | 2006-12-06 |
| 1306913017 | Minnewaska Area Schools #2149 | Clinic/Center | 500 John St, Minnewaska Area Schools Day Treatment Program, Starbuck, MN 56381 | 2006-11-29 |
| 1720162787 | Starbuck Clinic Pllc | Clinic/Center | 501 Poler St, Starbuck, MN 56381 | 2006-10-25 |
| 1174528855 | Ranae Marie Spore | Pharmacy Technician | 406 8 1/2 Street, Starbuck, MN 56381-0154 | 2005-06-17 |
| 1477559565 | Nancy V Samuelson | Pharmacy Technician | 118 West 5th St, Starbuck, MN 56381-0399 | 2005-06-22 |
| 1831194620 | John Theodore Samuelson | Pharmacist | 118 W. 5th St., Box 399, Starbuck, MN 56381-0399 | 2005-06-17 |
| 1114923539 | Mary Helen Danielson | Licensed Practical Nurse | 501 Poler St, Starbuck, MN 56381-0460 | 2005-06-21 |
| 1184629040 | Robert H Bosl | Family Medicine | 501 Poler Street, Starbuck, MN 56381-0460 | 2005-06-16 |
| Find all providers in zip 56381 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215151469 | Renea L Steenblock | Specialist | 605 Main Street, Starbuck, MN 56381 | 2007-04-12 |
| 1457575672 | Katherine E Danielson | Specialist | 605 Main Street, Starbuck, MN 56381 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
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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.