NORTH CENTRAL PATHOLOGY, P.A. (NPI# 1316278641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316278641 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL PATHOLOGY, P.A. |
| Practice Address |
3701 12th St N Suite 201 Saint Cloud MN 56303-2255 |
| Practice Telephone | 3202536554 |
| Practice Fax Number | 3202531218 |
| Mailing Telephone | 3202536554 |
| Mailing Fax Number | 3202531218 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | MS. CYNTHIA STADEL (ADMINISTRATOR) |
| Authorized Official Telephone | 3202536554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
33302 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 729565100 | 05 |
| Street Address |
3701 12TH ST N SUITE 201 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684415 | Jay Lenard Horowitz | Anesthesiology | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 | 2006-05-10 |
| 1497292783 | Carolyn Juske | Counselor | 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | 2017-01-24 |
| 1265976518 | Mark Raykowski | Nurse Anesthetist, Certified Registered | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 | 2016-12-06 |
| 1598208308 | Andrew Mackey | Counselor | 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | 2016-11-28 |
| 1124574199 | Ana Morse | Counselor | 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | 2016-08-30 |
| 1164978219 | Centracare Clinic | Clinic/Center | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2016-08-29 |
| 1194271239 | Centracare Surgery Center | Clinic/Center | 3701 12th St N, 101, Saint Cloud, MN 56303-2255 | 2016-08-29 |
| 1194279448 | Cari Binsfeld | Marriage & Family Therapist | 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | 2016-08-03 |
| 1003360355 | Clint Sauer | Marriage & Family Therapist | 3701 12th St N, Suite 203, Saint Cloud, MN 56303-2255 | 2016-08-03 |
| 1740633106 | Thomas Tate | Nurse Anesthetist, Certified Registered | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013353358 | Amelia Fierro-fine | Pathology | 1406 6th Ave N, Saint Cloud, MN 56303 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831627702 | Cade Dylan Arries | Pathology | 420 Delaware St Se # D142, Minneapolis, MN 55455-0341 | 2017-05-23 |
| 1013337773 | Kevin Jee Ha | Pathology | 172 6th St E Apt 1906, Saint Paul, MN 55101-1978 | 2014-04-22 |
| 1902238231 | Patrick Joseph Parks | Pathology | 2282 Field Stone Dr, Mendota Heights, MN 55120-1918 | 2013-08-09 |
| 1538505862 | Mary Louise Ulrickson | Pathology | 824 Westwood Dr S, Golden Valley, MN 55416-3355 | 2013-05-14 |
| 1386872620 | Ronald L Villella | Pathology | 13393 Danube Cir, Rosemount, MN 55068-3168 | 2009-06-25 |
| 1679791230 | Ann Marie Connor | Pathology | 1080 County Rd D W, Apt. 24, Roseville, MN 55126-3766 | 2007-04-20 |
| 1841349149 | Ken Julian Takekoshi | Pathology | 1766 Trail Rd, Mendota Heights, MN 55118-3730 | 2007-01-09 |
| 1669551693 | Martin L Lipschultz | Pathology | 716 Meadow Ln S, Minneapolis, MN 55416-3417 | 2006-11-02 |
| 1831281641 | Ajay Rawal | Pathology | 640 Jackson St - Mc 11103e, Hehealthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-09-29 |
| 1639284870 | Michael Andrew Linden | Pathology | 420 Deleware St. Se, Mmc 609, Minneapolis, MN 55455 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.