DR. JOHN D KOLSTOE (NPI# 1124043229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124043229 |
| Entity Type | Individual |
| Full Name | DR. JOHN D KOLSTOE |
| Credential | MD |
| Practice Address |
1300 Anne St Nw Bemidji MN 56601-5103 |
| Mailing Address |
1401 E Lansing Dr Suite 108 East Lansing MI 48823-7787 |
| Practice Telephone | 2183336000 |
| Mailing Telephone | (517) 351-9386 |
| Mailing Fax Number | 5173519388 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
29139 | MN | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301046998 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4893807 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 E Lansing Dr, Suite 108, East Lansing, MI 488237787 | 5173519386 | 5173519388 |
| Street Address |
1300 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090901 | Marvin R Fetter | Orthopaedic Surgery | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2005-08-17 |
| 1679129555 | Ashley Marie Wavrin | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-08-15 |
| 1649824996 | Angela Halvorson | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-07-25 |
| 1114589348 | Rachel Marie Vesta | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-07-09 |
| 1407419419 | Ethan Axtman | Nurse Practitioner | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2019-04-16 |
| 1053895201 | Jarad Syrstad | Physical Therapist | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-09-23 |
| 1851874416 | Kimberly Miller | Physician Assistant | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-09-10 |
| 1780175752 | Billie Jo Dressing | Registered Nurse | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-05-24 |
| 1386142818 | Andrea May Lucca | Social Worker | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-01-30 |
| 1356859979 | Andrew William Rook | Registered Nurse | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2018-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679591341 | James R Carpenter | Internal Medicine | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079055 | Emily Pfeifer | Internal Medicine | 7250 France Ave S Ste 215, Edina, MN 55435-4312 | 2012-06-25 |
| 1871865840 | Kenneth Floyd Tempero | Internal Medicine | 1901 Lake Rd, Wayzata, MN 55391-9715 | 2012-02-06 |
| 1639329279 | Audrey May Nelson | Internal Medicine | 2105 Valkyrie Dr Nw, Rochester, MN 55901-8117 | 2008-09-19 |
| 1962695023 | Paul H Sufka | Internal Medicine | 401 Phalen Blvd-ms 41103a, Healthpartners Specialty Center 401, St Paul, MN 55130-5302 | 2007-08-22 |
| 1457426652 | F Douglas Whiting | Internal Medicine | 3585 North Lexington Ave Suite 135, Arden Hills, MN 55126 | 2006-11-22 |
| 1235147331 | Jerry A Molitor | Internal Medicine | 516 Delaware Street Se, Clinic 6a, Ump Medicine Specialties Clinic, Minneapolis, MN 55455 | 2006-08-04 |
| 1497763700 | Shambeel H Rizvi | Internal Medicine | 536 Cedar St, Monticello, MN 55362-8403 | 2006-08-03 |
| 1619913621 | Ali Sajjad | Internal Medicine | 2945 Hazelwood St Ste 200, Maplewood, MN 55109-5841 | 2006-06-20 |
| 1053353094 | David J Rhude | Internal Medicine | 3505 Saint Paul Ave, O5, Minneapolis, MN 55416-4344 | 2006-06-12 |
| 1760455208 | Ellen R Shammash | Internal Medicine | 401 Phalen Blvd - Ms 41103a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-02-07 |
| 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.