MARK PATRICK KEREKES (NPI# 1215033238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033238 |
| Entity Type | Individual |
| Full Name | MARK PATRICK KEREKES |
| Credential | MD |
| Practice Address |
1185 Town Centre Dr Suite 225 Bhsi LLC Eagan MN 55123-1186 |
| Mailing Address |
2497 7th Ave E Suite 101 Bhsi LLC North St Paul MN 55109-2496 |
| Practice Telephone | 6517696200 |
| Practice Fax Number | 6517696249 |
| Mailing Telephone | 6517696200 |
| Mailing Fax Number | 6517696249 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
39355 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1185 TOWN CENTRE DR SUITE 225 BHSI LLC |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566840 | Charles E. Crutchfield IIi | Specialist | 1185 Town Centre Dr, Ste 101, Eagan, MN 55123-1188 | 2005-05-31 |
| 1518583590 | Virginia Otey Villarreal | Registered Nurse | 1185 Town Centre Dr, Eagan, MN 55123-1187 | 2020-06-24 |
| 1639510845 | Anna Lynn Connelly | Specialist/Technologist | 1185 Town Centre Dr, Suite 100, Eagan, MN 55123-1187 | 2013-07-16 |
| 1639326861 | Pamela O Strobel | Physician Assistant | 1185 Town Centre Dr, Suite 220, Eagan, MN 55123-1187 | 2008-08-19 |
| 1952587099 | Adam S. Kim | Internal Medicine | 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1187 | 2008-01-19 |
| 1225134240 | Vernon Claude Jesse | Psychologist | 1185 Town Centre Dr, Suite 225, Eagan, MN 55123-1186 | 2006-09-16 |
| 1962426502 | Crutchfield Dermatology, P.a. | Dermatology | 1185 Town Centre Dr, Suite 101, Eagan, MN 55123-1187 | 2006-07-27 |
| 1164477709 | Minnesota Center for Obesity, Metabolism & Endocrinology, Pa | Family Medicine | 1185 Town Centre Dr, Suite 220, Eagan, MN 55123-1187 | 2006-05-23 |
| 1720033640 | Joseph Michael Gonzalez-campoy | Internal Medicine | 1185 Town Centre Dr, Suite 220, Eagan, MN 55123-1187 | 2006-05-23 |
| 1831144609 | Ayesha Ebrahim | Internal Medicine | 1185 Town Centre Dr, Suite 220, Eagan, MN 55123-1187 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740329234 | Michael Anders Donndelinger Beldon | Psychiatry & Neurology | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945180 | Pathways Autism Center LLC | Psychiatry & Neurology | 2021 E Hennepin Ave Ste 155, Minneapolis, MN 55413-1772 | 2019-10-31 |
| 1841514734 | Sara Jean Polley | Psychiatry & Neurology | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2010-03-21 |
| 1356597041 | Wei Guan | Psychiatry & Neurology | 3800 Park Nicollet Blvd Ste 650, St Louis Park, MN 55416-2527 | 2008-08-13 |
| 1831357219 | Lawrence John Young Jr. | Psychiatry & Neurology | 800 E 28th St, Ste. 600, Wasie Bldg., Minneapolis, MN 55407-3723 | 2008-06-02 |
| 1396885646 | Muhammad Waqar Azeem | Psychiatry & Neurology | 11705 State Ave, Brainerd, MN 56401-7307 | 2007-02-07 |
| 1295894269 | Roy Dewayne Hankins | Psychiatry & Neurology | 2558 271 Ave, Madison, MN 56256 | 2006-12-06 |
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1891884326 | Highland Psychiatric Services Pa | Psychiatry & Neurology | 897 St Paul Ave, St Paul, MN 55116 | 2006-10-12 |
| 1427144815 | Adam Fox | Psychiatry & Neurology | 15 Groveland Ter Ste 201, Minneapolis, MN 55403-1154 | 2006-10-05 |
| 1831280635 | Jacob Kerbeshian | Psychiatry & Neurology | 111 Hundertmark Rd Ste 205n, Chaska, MN 55318-1586 | 2006-09-27 |
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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.