ANDREW CHARLES OCKULY (NPI# 1245646983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245646983 |
| Entity Type | Individual |
| Full Name | ANDREW CHARLES OCKULY |
| Credential | DO |
| Practice Address |
1701 Curve Crest Blvd W Ste 104 Stillwater MN 55082-6181 |
| Practice Telephone | 6514398807 |
| Practice Fax Number | 6514390232 |
| Mailing Telephone | 6514398807 |
| Mailing Fax Number | 6514390232 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 71348-21 | WI | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 65557 | MN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | A-2196-18 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 8166555426 | 8166555408 |
| Street Address |
1701 CURVE CREST BLVD W STE 104 |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043299738 | Bryan D Den Hartog | Orthopaedic Surgery | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2006-01-11 |
| 1649821646 | Robert Monroe Poutre | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-09-23 |
| 1174186084 | Andrea Mitchell Riess | Nurse Practitioner | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-04-16 |
| 1578021739 | Mallory Strong Halaas | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2019-03-06 |
| 1902396799 | Kristi Ann Gingras | Specialist/Technologist, Other | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2018-05-16 |
| 1770099103 | Ashton Mae Makwana | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2017-12-21 |
| 1265840698 | Laura Lee Arcand | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2014-07-29 |
| 1528470341 | John Curtis Kelly | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2014-05-28 |
| 1639467988 | Timothy Hafemeyer | Physical Therapist | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2011-07-20 |
| 1447565890 | Nicole Joy Siegler | Physician Assistant | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082 | 2010-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679023170 | Bobby Doyce Anthony | Orthopaedic Surgery | 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 | 2016-10-07 |
| 1043299738 | Bryan D Den Hartog | Orthopaedic Surgery | 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 | 2006-01-11 |
| 1427032549 | Scott N. Stubbs | Orthopaedic Surgery | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2005-12-01 |
| 1215910179 | Thomas G. Wuller | Orthopaedic Surgery | 511 S Windsor Dr, Stillwater, OK 74074 | 2005-11-23 |
| 1265427140 | Cary Couch | Orthopaedic Surgery | 320 N Perkins Rd, Stillwater, OK 74075-5513 | 2005-09-15 |
| 1871616490 | Stillwater Orthopaedic Clinic Inc. | Orthopaedic Surgery | 320 N Perkins Rd, Stillwater, OK 74075-5513 | 2007-04-09 |
| 1336288133 | Mark Paden | Orthopaedic Surgery | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2007-02-06 |
| 1891855722 | Orthooklahoma P C | Orthopaedic Surgery | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2006-12-11 |
| 1558345801 | Bretton H. Jameson | Orthopaedic Surgery | 511 S Windsor Dr, Stillwater, OK 74074-6962 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955385 | Summit Orthopedics Ltd | Orthopaedic Surgery | 4360 12th Ave E, Shakopee, MN 55379-1955 | 2019-10-30 |
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1477971174 | Thomas Jay Kaiser | Orthopaedic Surgery | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2014-03-31 |
| 1073876876 | Daniel Borgen | Orthopaedic Surgery | 1811 Pennsylvania Ave N, Golden Valley, MN 55427-4015 | 2012-06-18 |
| 1194019729 | John Allen Wilson Jr. | Orthopaedic Surgery | 7327 Rogers Point Rd Nw, Walker, MN 56484-2523 | 2011-05-31 |
| 1952693749 | Kurt Joseph Duncan | Orthopaedic Surgery | 8650 Hudson Blvd N Ste 100, Lake Elmo, MN 55042-8416 | 2011-05-11 |
| 1407155054 | Paul T. Wicklund, M.d., P.a. | Orthopaedic Surgery | 6545 France Ave S Ste 363, Edina, MN 55435-2121 | 2011-03-22 |
| 1861712861 | Wayne William Thompson | Orthopaedic Surgery | 1651 Saunders Ave, Saint Paul, MN 55116-2430 | 2010-06-02 |
| 1124357512 | William Jarvis Busby | Orthopaedic Surgery | 501 Holly Cir, Wayzata, MN 55391-1369 | 2009-12-14 |
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| City | STILLWATER |
| Zip Code | 55082 |
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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.