JON RICHARD VAN DER HAGEN (NPI# 1326016171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326016171 |
| Entity Type | Individual |
| Full Name | JON RICHARD VAN DER HAGEN |
| Credential | MD |
| Practice Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Practice Telephone | 2188292861 |
| Mailing Telephone | 2188292861 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29424 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 817882800 | 05 |
| Street Address |
523 N 3RD ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096496 | Richard F Galbraith | Chiropractor | 523 N 3rd St, Brainerd, MN 56401-3054 | 2005-07-08 |
| 1083211676 | Aaron John Stanley | Student in an Organized Health Care Education/Training Program | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-10-06 |
| 1427675909 | Amanda K Redning | Psychiatry & Neurology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-06-30 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1285284240 | Jennifer Lee Stange | Dietitian, Registered | 523 N 3rd St, Brainerd, MN 56401-3054 | 2019-09-12 |
| 1629585302 | Jacob S Brusehaver | Occupational Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2018-01-04 |
| 1669905337 | Tegan Nicole John | Hospitalist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2017-04-09 |
| 1366827750 | Cheryl Winch | Physical Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2015-07-27 |
| 1629450689 | Richard V Castle | Internal Medicine | 523 N 3rd St, Brainerd, MN 56401 | 2015-06-25 |
| 1417336173 | Leah Lempola | Nurse Practitioner | 523 N 3rd St, Medical Staff Office, Brainerd, MN 56401-3054 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| 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 |
|---|---|---|---|---|
| 1962453993 | Steven Lynn Andersen | Family Medicine | 16366 Pristine Pine Ct, Brainerd, MN 56401-6278 | 2006-05-15 |
| 1861491672 | Nicholas P Bernier | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2005-07-14 |
| 1255698775 | Sarah Ann Osborne | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-4529 | 2012-04-20 |
| 1598050783 | Jeremiah John Eisenschenk | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-4529 | 2011-06-15 |
| 1669612677 | Kristina Marie Lelcu | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2009-03-03 |
| 1467655308 | Harvey E Anderson | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2007-06-07 |
| 1871685206 | Thomas M Polovitz | Family Medicine | 722 Nw 7th St, Brainerd, MN 56401-2912 | 2006-09-30 |
| 1023109261 | Thomas E Applegate | Family Medicine | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-09-27 |
| 1215941026 | James Earl Burrell | Family Medicine | 11800 Highway 18, Brainerd, MN 56401 | 2006-07-28 |
| 1053389742 | Heidi L Malling | Family Medicine | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-03-09 |
| Find all providers in BRAINERD | ||||
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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.