MICHAEL C JAMES (NPI# 1215916218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215916218 |
| Entity Type | Individual |
| Full Name | MICHAEL C JAMES |
| Credential | MD |
| Practice Address |
1421 Premiere Dr Mankato Clinic At Wickersham Campus Mankato MN 56001-6076 |
| Mailing Address |
1230 E Main St Po Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 33293 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 1900661 | 01 |
| MN | BCBS | 71333JA | 01 |
| MN | HEALTH PARTNERS | HP25590 | 01 |
| MN | UCARE | 115544 | 01 |
| MN | AMERICAS PPO | 772931 | 01 |
| MN | 851503400 | 05 | |
| MN | PREFERRED ONE | NA2951022168 | 01 |
| RR MEDICARE | 340009844 | 01 | |
| IA | 938084 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180208 | Michael Leonard James II | Behavior Technician | 1512 Harvard Cir Apt 5, Palm Bay, FL 32905-2248 | 2019-12-10 |
| 1629599113 | Michael James | Dietitian, Registered | 2711 Ashland Dr, Durham, NC 27705-5693 | 2017-07-05 |
| 1629481056 | Michael James | Behavioral Analyst | 4328 Se 46th St, Oklahoma City, OK 73135-3041 | 2014-06-03 |
| 1336563154 | Michael James | Residential Treatment Facility, Emotionally Disturbed Children | 47-343 Lulani St, Kaneohe, HI 96744-4716 | 2014-02-13 |
| 1932447091 | Michael Allen James | Pharmacy Technician | 375 N Christmas Hill Rd, Titusville, FL 32796-2528 | 2013-01-24 |
| 1780980789 | Michael Demechio James | Community Health Worker | 20430 Imperial Valley Dr Apt 107, Houston, TX 77073-5507 | 2011-02-08 |
| 1487886792 | Michael Justin James | Chiropractor | 30555 Trabuco Canyon Road, Suite 202, Trabuco Canyon, CA 92679-3003 | 2009-08-20 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| 1932302254 | Michael James | Nurse Anesthetist, Certified Registered | 2173 Centerville Pl # A, Tallahassee, FL 32308-4356 | 2007-06-06 |
| 1629111497 | Michael K. James | Podiatrist | 3345 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-14 |
| Street Address |
1421 PREMIERE DR MANKATO CLINIC AT WICKERSHAM CAMPUS |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-6076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995034 | Gary S Goldberg | Urology | 1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001-6076 | 2006-01-09 |
| 1205816287 | John W Benson | Family Medicine | 1421 Premiere Dr, Mankato Clinic At Wickersham, Mankato, MN 56001-6076 | 2006-01-18 |
| 1124006143 | Lynn K Gustafson | Podiatrist | 1421 Premiere Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56001 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995034 | Gary S Goldberg | Urology | 1421 Premiere Dr, Mankato Clinic@ Wickersham Campus, Mankato, MN 56001-6076 | 2006-01-09 |
| 1629485214 | Derek Gearman | Urology | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-07-16 |
| 1982807350 | Kenneth M Smith | Urology | 1025 Marsh St, Mankato, MN 56001-4752 | 2007-06-06 |
| 1386724102 | Joe Y Lee | Urology | 1025 Marsh St, Mankato, MN 56001 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
| 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.