ST JOSEPH'S MEDICAL CENTER (NPI# 1174809792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174809792 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH'S MEDICAL CENTER |
| Other Organization Name | ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC |
| Practice Address |
13060 Isle Drive Baxter MN 56425 |
| Practice Telephone | 2188282880 |
| Mailing Telephone | 2188282880 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | MR. MICHAEL LARSON (VP OF OPERATIONS) |
| Authorized Official Telephone | 2188287656 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JOSEPH'S MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ESSENTIA HEALTH-ST JOSEPH'S BAXTER CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
| 1952896144 | St Joseph's Medical Center | Clinic/Center | 2014 S 6th St, Brainerd, MN 56401-4529 | 2018-06-29 |
| 1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH'S MEDICAL CENTER | 127 South Broadway, Yonkers, NY 10701-4006 |
| Street Address |
13060 ISLE DRIVE |
| City | BAXTER |
| State | MN |
| Zip Code | 56425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457382475 | Lee Alan Muskovitz | Pediatrics | 13060 Isle Drive, Baxter, MN 56425 | 2006-07-06 |
| 1568943090 | Erin S Swanson | Nurse Practitioner | 13060 Isle Drive, Baxter, MN 56425 | 2018-08-23 |
| 1720441926 | Katherine Colleen Thornton | Pediatrics | 13060 Isle Drive, Baxter, MN 56425 | 2016-04-04 |
| 1942558747 | Amy Marie Thesing | Nurse Practitioner | 13060 Isle Drive, Essentia Health St Joseph's Baxter Clinic Urgent Care, Baxter, MN 56425 | 2012-08-27 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740708411 | Aim-axness Integrative Medicine, Pllc | General Practice | 7350 Clearwater Rd, Baxter, MN 56425-8463 | 2017-09-01 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
| 1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
| 1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
| 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.