COLIN W FENNELL (NPI# 1356313480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356313480 |
| Entity Type | Individual |
| Full Name | COLIN W FENNELL |
| Practice Address |
323 S Minnesota St Crookston MN 56716-1601 |
| Mailing Address |
323 S Mn St Crookson MN 56716-1601 |
| Practice Telephone | 2182819553 |
| Mailing Telephone | 2182819553 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
44689 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 812029300 | 05 |
| Street Address |
323 S MINNESOTA ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492716 | Lance Michael Norman | Occupational Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-01-25 |
| 1538786207 | Forrest Laporte | Nurse Practitioner | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-06-29 |
| 1003437369 | Samantha Brentrup | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-04-28 |
| 1275091282 | Kelsey Billing | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2019-03-08 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1417430588 | Monica Annette Wells | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-13 |
| 1043799612 | Braydon Gourneau | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-14 |
| 1952880668 | Shelby Knott | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-13 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1194204610 | Rhonda June Salentiny | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| 1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1831493733 | Peter J. Strand | Orthopaedic Surgery | 16943 Miller Ln, Deerwood, MN 56444-8570 | 2011-01-06 |
| 1659581627 | Christina M Ward | Orthopaedic Surgery | 401 Phalen Blvd - Ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-05-22 |
| 1447322011 | Steven Demetrious Meletiou | Orthopaedic Surgery | 3545 Highway 61 N, Vadnais Heights, MN 55110-5223 | 2006-11-15 |
| 1952701187 | Ali Izadpanah | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-08-25 |
| 1942620687 | Eric Rohman | Orthopaedic Surgery | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2014-04-21 |
| 1215358346 | Summit Orthopedics, Ltd | Orthopaedic Surgery | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2013-12-16 |
| 1922341932 | John Patrick Delaney | Orthopaedic Surgery | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2013-03-28 |
| 1447506183 | Nina Suh | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-07-31 |
| 1316265499 | Jennifer Kay Wozniczka | Orthopaedic Surgery | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2010-05-13 |
| 1912232745 | Tod Andrew Clark | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-10-13 |
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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.