DR. ANNE ELISABETH DIETRICH (NPI# 1386840478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386840478 |
| Entity Type | Individual |
| Full Name | DR. ANNE ELISABETH DIETRICH |
| Other Name | DR. ANNE ELISABETH MODRZYNSKI |
| Credential | M.D. |
| Practice Address |
1601 Saint Francis Ave Suite 100 Shakopee MN 55379-3383 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 9524283535 |
| Practice Fax Number | 9524283599 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R8178 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881851046 | Anne Marie Dietrich | Psychiatry & Neurology | 5707 Grigsby St, Alexandria, VA 22311-1612 | 2008-05-16 |
| Street Address |
1601 SAINT FRANCIS AVE SUITE 100 |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467856 | Darren F Larson | Orthopaedic Surgery | 1601 Saint Francis Ave, Shakopee, MN 55379-3383 | 2005-12-12 |
| 1902217045 | Samantha Mantz | Physician Assistant | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2014-05-12 |
| 1255763900 | Jackie Kay Tewes | Nurse Practitioner | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2013-08-05 |
| 1891057311 | Christina Degler | Specialist/Technologist | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2012-06-11 |
| 1821374638 | Cynthia Jo Freitag-hagen | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-25 |
| 1023392388 | Patricia Gail Rechtzigel | Physical Therapy Assistant | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2011-10-05 |
| 1518263250 | Allina Health System | Clinic/Center | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2011-01-27 |
| 1548400039 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1601 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3383 | 2009-02-24 |
| 1902068927 | Daniel N Kessler | Psychologist | 1601 Saint Francis Ave, Shakopee, MN 55379-3373 | 2008-07-01 |
| 1922273978 | Parvathi Theerthakarai | Family Medicine | 1601 Saint Francis Ave, 100, Shakopee, MN 55379-3383 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467432716 | Michael Jon Walker | Surgery | 1515 Saint Francis Ave, #100, Shakopee, MN 55379-3387 | 2006-01-20 |
| 1770693210 | Gary Micheal Jonson | Surgery | 1515 Saint Francis Ave, Suite 200, Shakopee, MN 55379-3387 | 2006-08-30 |
| 1316979891 | Jayson Carl Dock | Surgery | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
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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.