PETE ALBERT POOLER (NPI# 1164451662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451662 |
| Entity Type | Individual |
| Full Name | PETE ALBERT POOLER |
| Credential | MD |
| Practice Address |
9825 Hospital Dr Ste 300 Maple Grove MN 55369 |
| Mailing Address |
9825 Hospital Dr Ste 300 Maple Grove MN 55369-4768 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7634947501 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7634947501 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
27960 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 660568100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3366 Oakdale Ave N, Suite 215, Robbinsdale, MN 55422 | 7635877900 | 7635877989 |
| Street Address |
9825 HOSPITAL DR STE 300 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518917731 | Hieu Kim Cabak | Physician Assistant | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-05-10 |
| 1467761890 | Susan Mentjes Wrobel | Nurse Practitioner | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2010-10-04 |
| 1154583631 | Kyle R Barker | Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-06-26 |
| 1023276789 | Tiffany T Fancher | Colon & Rectal Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-05-29 |
| 1235304726 | North Clinic, Pa | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-04-25 |
| 1588840813 | Anne C. Carlson-buren | Podiatrist | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-01-16 |
| 1700815230 | Sherry Ann Paulson | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-30 |
| 1346286838 | Leslee J Jaeger | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
| 1013953488 | Kathryn G Flory | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
| 1073557641 | Asim Said Khan | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1467640482 | Metropolitan Gastrointestinal Specialists | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2007-10-04 |
| 1073855367 | Kristin Marie Mcbeath | Internal Medicine | 14500 99th Ave N Ste 100, Maple Grove, MN 55369-4738 | 2013-03-25 |
| 1144588773 | Digestive Endoscopy, Pa | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2012-05-02 |
| 1992094064 | Christopher Steevens | Internal Medicine | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2011-03-29 |
| 1760788830 | Hashim Nemat | Internal Medicine | 9855 Hospital Dr, Suite 102b, Maple Grove, MN 55369-4648 | 2011-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1780829440 | Albert Dallas Newcomer | Internal Medicine | 437 Eagle Ln Sw, Rochester, MN 55902-4137 | 2008-12-10 |
| 1528215415 | Ronald F Kettering | Internal Medicine | 1635 11th Ave Ne, Rochester, MN 55906-4266 | 2008-08-21 |
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1265609085 | Jeffrey Sanders | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2008-05-12 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
| 1598960312 | Mustafa A Tiewala | Internal Medicine | 825 S. 8th Street, Suite 250, Minneapolis, MN 55404-1208 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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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.