KATHLEEN MAHAN (NPI# 1184068298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184068298 |
| Entity Type | Individual |
| Full Name | KATHLEEN MAHAN |
| Credential | M.D. |
| Practice Address |
909 Fulton St Se Minneapolis MN 55455-4800 |
| Mailing Address |
3055 Leeward Way Little Canada MN 55109-1066 |
| Practice Telephone | 6126727422 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
62879 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Park Ave, G5.114, Minneapolis, MN 554151623 | 6128734733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467989590 | Kathleen Mahan | Behavior Technician | 5500 Tramore Ct, Fairfax, VA 22032-3126 | 2017-05-19 |
| 1639100464 | Kathleen A Mahan | Family Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2006-07-06 |
| 1669474532 | Kathleen Ellen Mahan | Nurse Practitioner | 7381 College Pkwy, Suite 110, Fort Myers, FL 33907-5548 | 2005-08-11 |
| 1053488809 | Kathleen Mahan | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2006-11-29 |
| Street Address |
909 FULTON ST SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365122 | Gary L Bryant | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-06-10 |
| 1437756848 | Kelsey Larsen | Pharmacist | 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 | 2020-10-08 |
| 1518572254 | Rachel Elizabeth Kraemer | Audiologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-09-10 |
| 1912527268 | Becca Marie Mahnesmith | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-16 |
| 1073142212 | Emily Kline | Health Educator | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-04-08 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1518506138 | Carrie Leigh Kwiatkowski | Specialist/Technologist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-12-30 |
| 1801432414 | Abigail Denise Conrad | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-11-19 |
| 1700428497 | Ashley Herman | Dietitian, Registered | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-10-14 |
| 1104471275 | Holly Heewon Lee | Genetic Counselor, MS | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1396867909 | Abbie Lynn Begnaud | Internal Medicine | 516 Delaware Street, Clinic 6a, Umphysicians Medicine Specialties Clinic, Minneapolis, MN 55455 | 2007-04-04 |
| 1679593925 | Joan Mk Fox | Internal Medicine | 920 E 28th St # St5, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-20 |
| 1871534214 | James W Leatherman | Internal Medicine | 701 Park Ave S, S1, Minneapolis, MN 55415-1623 | 2006-06-09 |
| 1649225012 | Conrad Iber | Internal Medicine | 606 24th Avenue South, Suite 106, Ump Sleep Medicine Clinic, Minneapolis, MN 55454-1437 | 2006-05-24 |
| 1538587175 | Jennifer Wong | Internal Medicine | 420 Delaware St Se, Phillips Wangensteen Bldg, 14th Floor, Suite 100, Minneapolis, MN 55455-0341 | 2014-04-01 |
| 1487729273 | Cornelia Dahm | Internal Medicine | 606 24th Ave S, Ste 106, Minneapolis, MN 55454-1455 | 2006-11-21 |
| 1356430284 | Robert R Kempainen | Internal Medicine | 701 Park Ave, S-1, Minneapolis, MN 55415-1623 | 2006-10-11 |
| 1013018209 | Maryam Valapour | Internal Medicine | 516 Delaware Street Se, Pwb Second Floor Clinic 2a, Minneapolis, MN 55455 | 2006-09-26 |
| 1477657914 | Jeffrey Bennet Rubins | Internal Medicine | 701 Park Ave, Department of Medicine G5.208, Minneapolis, MN 55415-1623 | 2006-09-12 |
| 1720098833 | Jagadish Masoor Rajas Patil | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2006-08-09 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
Please comment or provide details below to improve the information on KATHLEEN MAHAN.
| 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.