JERRY REED HENDEL (NPI# 1215040803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215040803 |
| Entity Type | Individual |
| Full Name | JERRY REED HENDEL |
| Credential | MD |
| Practice Address |
24 E 7th St Morris MN 56267-1312 |
| Mailing Address |
712 S Cascade St Fergus Falls MN 56537-2913 |
| Practice Telephone | 3205894008 |
| Practice Fax Number | 2187396718 |
| Mailing Telephone | 2187368000 |
| Mailing Fax Number | 2187396718 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22506 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0967638 | 05 | |
| MN | PREFERRED ONE NUMBER | 1008789 | 01 |
| NE | 41091744413 | 05 | |
| MN | HEALTHPARTNERS NUMBER | HP26572 | 01 |
| MN | 336780100 | 05 | |
| MN | BCBS NUMBER | 49843HE | 01 |
| MN | MEDICA NUMBER FFMG | 01-00798 | 01 |
| MN | U-CARE NUMBER | 123435 | 01 |
| ND | 12222 | 05 |
| Street Address |
24 E 7TH ST |
| City | MORRIS |
| State | MN |
| Zip Code | 56267-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437714 | Kelley Mikkelson | Nurse Practitioner | 24 E 7th St, Morris, MN 56267-1312 | 2019-06-28 |
| 1609354893 | Timothy Ryan Hovde | Emergency Medical Technician, Paramedic | 24 E 7th St, Morris, MN 56267-1312 | 2018-07-31 |
| 1396263208 | Kayli Jo Piechowski | Physician Assistant | 24 E 7th St, Morris, MN 56267-1312 | 2017-08-31 |
| 1750481958 | West Central Internal Medicine | Clinic/Center | 24 E 7th St, Morris, MN 56267-1312 | 2006-09-25 |
| 1053411280 | Prairie Surgicenter LLP | Clinic/Center | 24 E 7th St, Suite 100, Morris, MN 56267-1312 | 2006-09-25 |
| 1932207545 | John Frederick Stock | Internal Medicine | 24 E 7th St, Morris, MN 56267-1312 | 2006-09-20 |
| 1225083140 | Winmar Diagnostics North Central | Physiological Laboratory | 24 E 7th St, Ste 100, Morris, MN 56267-1312 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
| 1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
| 1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
| 1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
| 1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
| Find all providers in zip 56267 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487992467 | Raja K Saleem Md Sc | Family Medicine | 948 W Us Route 6, Morris, IL 60450-8858 | 2013-01-24 |
| 1386905446 | Stephanie K Whitmer | Family Medicine | 1345 Edwards St Ste 2, Morris, IL 60450-1692 | 2012-06-06 |
| 1891094710 | Pinnacle Healthcare Solutions, LLC | Family Medicine | 17565 Redbud Ln, Morris, OK 74445-2354 | 2011-03-17 |
| 1083829105 | Raja Khalid Saleem | Family Medicine | 948 W U S Route 6, Saleem Family Medicine, Morris, IL 60450-1407 | 2007-05-11 |
| 1811062300 | Cesario Monsanto Cumba | Family Medicine | 219 Bedford Rd, Morris, IL 60450-1442 | 2006-11-21 |
| 1609889740 | Gregory John Abler | Family Medicine | 400 E First St, Morris, MN 56267-0660 | 2006-08-13 |
| 1316985021 | Julia Serov Hoffman | Family Medicine | 400 East First Street, Morris, MN 56267 | 2006-06-03 |
| 1477510717 | Jennifer L Jones | Family Medicine | 1499 Lakewood Dr Ste C, Morris, IL 60450-1740 | 2006-04-28 |
| 1023085602 | Tracy Morrison Parks | Family Medicine | 586 Morris Majestic Rd, Morris, AL 35116-1245 | 2006-03-02 |
| 1568440949 | Bradley R Lawton | Family Medicine | 1300 Dresden Dr, Morris, IL 60450 | 2006-01-05 |
| Find all providers in MORRIS | ||||
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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.