DR. ALFREDMY G CHESSOR (NPI# 1255312013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255312013 |
| Entity Type | Individual |
| Full Name | DR. ALFREDMY G CHESSOR |
| Credential | M.D. |
| Practice Address |
4 Deerwood Ave Nw Wadena MN 56482 |
| Mailing Address |
415 Jefferson St North Wadena MN 56482 |
| Practice Telephone | 2186311360 |
| Practice Fax Number | 2186317507 |
| Mailing Telephone | 2186313510 |
| Mailing Fax Number | 2186317507 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22199 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4 DEERWOOD AVE NW |
| City | WADENA |
| State | MN |
| Zip Code | 56482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639138 | Ross Jeffrey Anderson | Obstetrics & Gynecology | 4 Deerwood Ave Nw, Wadena, MN 56482-1296 | 2005-06-16 |
| 1639723588 | Traci Michelle Jones | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2019-07-29 |
| 1184110561 | Sada Renee Aschnewitz | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2018-07-09 |
| 1366937229 | Dawn Ranae Sugg | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2018-06-24 |
| 1578842993 | Jamie L Udy | Nurse Practitioner | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2011-08-16 |
| 1275832230 | Alison J Meyer | Nurse Practitioner | 4 Deerwood Ave Nw, Wadena Medical Center, Wadena, MN 56482-1296 | 2011-03-16 |
| 1134305162 | Tri County Hospital Inc. | Clinic/Center | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2008-01-22 |
| 1487841037 | Heidi Marie Groth Olson | Family Medicine | 4 Deerwood Ave Nw, Wadena, MN 56482-1253 | 2007-09-27 |
| 1992905475 | Benjamin A Hess | Family Medicine | 4 Deerwood Ave Nw, Wadena, MN 56482-1296 | 2007-07-23 |
| 1750581617 | Tina I Hulse | Physician Assistant | 4 Deerwood Ave Nw, Tri-county Health Care Wadena Clinic, Wadena, MN 56482-1296 | 2007-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033633904 | Hadc Wadena, LLC | Assisted Living Facility | 110 Hemlock Ave. Nw, Wadena, MN 56482 | 2017-08-01 |
| 1457665986 | Jill M Wilkens | Physician Assistant | 4 Deerwood Ave, Wadena, MN 56482 | 2010-07-26 |
| 1053525931 | Gerald Henry Gammell | Psychiatry & Neurology | 240 Shady Lane Drive, Wadena, MN 56482 | 2007-05-09 |
| 1336286228 | Wayne Calvin Howard | Dentist | 122 Sw Colfax, Wadena, MN 56482 | 2007-01-31 |
| 1699839399 | Peter W Finke | Physical Therapist | 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 | 2006-12-20 |
| 1902874480 | Corey H Tabbert | Optometrist | 222 Se First Street, Wadena, MN 56482 | 2006-03-09 |
| 1447333547 | Woodland Dental Inc | Dentist | 206 1st St Se, Wadena, MN 56482 | 2006-10-23 |
| 1306948245 | Wendy Amanda Gravelle | Nurse Anesthetist, Certified Registered | 415 Jefferson St North, Wadena, MN 56482 | 2006-09-01 |
| 1902961048 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 Juniper Ave, Wadena, MN 56482-1041 | 2006-12-27 |
| 1609474436 | Danelle Mary Vandermay | Pharmacist | 100 Juniper Ave, Wadena, MN 56482-1041 | 2020-10-14 |
| Find all providers in zip 56482 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
| 1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
| 1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
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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.