TARA JEAN DENKE (NPI# 1124210398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124210398 |
| Entity Type | Individual |
| Full Name | TARA JEAN DENKE |
| Credential | MD |
| Practice Address |
1230 E Main Street Mankato Clinic At Main Street Mankato MN 56002-8674 |
| Mailing Address |
1230 E Main St Po-box 8674 Mankato Clinic Ltd Mankato MN 56002-8674 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 50240 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 163697100 | 05 |
| Street Address |
1230 E MAIN STREET MANKATO CLINIC AT MAIN STREET |
| City | MANKATO |
| State | MN |
| Zip Code | 56002-8674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| 1174650816 | Karen M Hansen | Physician Assistant | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-02-28 |
| 1093752412 | James A Boles | Internal Medicine | 1230 E Main Street, Mankato Clinic Main Street, Mankato, MN 56001 | 2006-06-02 |
| 1497734446 | James R Custer | Radiology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1366421356 | Peter S Nolan | Pediatrics | 1230 E Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1881673879 | Rolf E Storvick | Internal Medicine | 1230 E Main Street, Mankato Clinic, Mankato, MN 56002-8674 | 2006-01-10 |
| 1003895095 | Alyssa L Stitt | Family Medicine | 1230 E Main Street, Mankato Clinic, Mankato, MN 56002-8674 | 2006-01-10 |
| 1821077819 | Donald C Putzier | Pediatrics | 1230 E Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1184603193 | Lisa R Davidson | Psychiatry & Neurology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| 1841279833 | Eric J Storvick | Internal Medicine | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004803 | Karl Philip Roos | Internal Medicine | 1230 East Main Street, Mankato, MN 56002 | 2007-01-30 |
| 1194766055 | Winny W Hung | Emergency Medicine | 1025 Marsh St, Dept. of Emergency Medicine, Mankato, MN 56002 | 2006-06-09 |
| 1316974967 | Dale L Carlson | Optometrist | 220 East Main, Mankato, MN 56002-3387 | 2006-06-27 |
| 1992789986 | Brenda Oian Iv | Marriage & Family Therapist | Blue Earth County Government Center, 410 South 5th Street, Mankato, MN 56002-3526 | 2005-12-02 |
| 1811040769 | County of Blue Earth | Public Health or Welfare | 410 S 5th St, Mankato, MN 56002-3526 | 2007-01-22 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1962660324 | Hope Rene Bollig | Physician Assistant | 1015 Marsh St, Mankato, MN 56002-8673 | 2008-06-01 |
| 1649324690 | Matthew James Schaefer | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2007-01-23 |
| 1427131895 | Matthew Gerald Pollema | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2006-10-21 |
| 1144217209 | Erin E Bissonnette | Nurse Practitioner | 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2005-10-04 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| 1932526928 | Katie Keepers | Obstetrics & Gynecology | 1230 E Main St, Mankato, MN 56001 | 2014-03-27 |
| 1578850681 | Sonal Grover | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001 | 2011-07-09 |
| 1578743266 | Amy L. Brien | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001-4752 | 2007-11-09 |
| 1467665315 | Heather R Carlson | Obstetrics & Gynecology | 1230 E. Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-05-08 |
| 1013132281 | Tzvetan Fatchikov | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001-4752 | 2007-04-14 |
| 1902928153 | Gokhan Anil | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001 | 2007-04-06 |
| 1629119771 | Jason John Dewitt | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001 | 2007-02-10 |
| 1255496568 | Salvador Javier Cardenas | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-12-27 |
| 1598776478 | Teresa G Albert | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-08-10 |
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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.