ST CLOUD PATHOLOGISTS PA (NPI# 1396717633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396717633 |
| Entity Type | Organization |
| Organization Name | ST CLOUD PATHOLOGISTS PA |
| Practice Address |
1406 6th Ave N St Cloud MN 56303-1901 |
| Mailing Address |
Po Box 7848 Saint Cloud MN 56302-7848 |
| Practice Telephone | 3202512700 |
| Practice Fax Number | 3202555838 |
| Mailing Telephone | 3202512700 |
| Mailing Fax Number | 3202555838 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | CHRISTINA RENNER (BUSINESS MANAGER) |
| Authorized Official Telephone | 3207611011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 655013400 | 05 |
| Street Address |
1406 6TH AVE N |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588743561 | Michael S Currie | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, St Cloud, MN 56303 | 2006-11-02 |
| 1639285596 | Masahiko Sato | Marriage & Family Therapist | 1406 6th Ave N, St Cloud Hospital - Recovery Plus, St Cloud, MN 56303 | 2006-08-22 |
| 1245267566 | Gregory A Schlosser | Physical Medicine & Rehabilitation | 1406 6th Ave N, St Cloud, MN 56303-1900 | 2006-06-26 |
| 1992755052 | Jon C Bowar | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
| 1720038714 | Mark Irvin Holub | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
| 1699724104 | Cynthia A Sandberg | Nurse Practitioner | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-10 |
| 1245206291 | Debra S Lalley | Registered Nurse | 1406 6th Ave N, St Cloud Hospital Behavioral Health Clinic, St Cloud, MN 56303 | 2006-02-28 |
| 1770559148 | Mark Elmer Hoffmann | Emergency Medicine | 1406 6th Ave N, St Cloud Hospital Emergency Trauma Center, St Cloud, MN 56301 | 2006-02-27 |
| 1346216512 | Renee Linda Funk | Physician Assistant | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-27 |
| 1881660306 | David Lee Frederickson | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-24 |
| 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 | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| 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; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053383026 | Stephen Bologna | Pathology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-02-03 |
| 1578534913 | Brian Kay | Pathology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-02-01 |
| 1831160274 | Bradley Curtis | Pathology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629006218 | John Eckfeldt | Pathology | 420 Delaware Street Se, 760 Mayo Memorial Building, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-06-30 |
| 1922085299 | Fairview Health Services | Pathology | 911 Northland Dr, Princeton, MN 55371-2172 | 2005-12-28 |
| 1225014970 | Joseph Frank Foss | Pathology | 304 Belle Ave, Mankato, MN 56001-5250 | 2005-12-15 |
| 1376075259 | Anastasia Zekeridou | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-03-30 |
| 1700261435 | Elona Turley | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-07-23 |
| 1487032470 | Ying-chun Lo | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-05-11 |
| 1619369931 | Fairview Health Services | Pathology | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2015-02-24 |
| 1851710834 | Jorge Alvaro Trejo-lopez | Pathology | 200 1st St Sw, Rochester, MN 55905-3003 | 2014-04-07 |
| 1356774368 | Valeria Laura Dal Zotto | Pathology | 200 1st St Sw, Rochester, MN 55905-2238 | 2013-08-13 |
| 1659711331 | Martin Salazar Ongkeko | Pathology | 200 1st St Sw, Rochester, MN 55905 | 2013-06-26 |
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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.