PATRICIA A MAHONEY MD PA (NPI# 1396790374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396790374 |
| Entity Type | Organization |
| Organization Name | PATRICIA A MAHONEY MD PA |
| Practice Address |
717 S State St Ste 900 Fairmont MN 56031-4478 |
| Practice Telephone | 5072384949 |
| Practice Fax Number | 5072383378 |
| Mailing Telephone | 5072384949 |
| Mailing Fax Number | 5072383378 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. PATRICIA A. MAHONEY (PRESIDENT) |
| Authorized Official Telephone | 5072384949 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 069N7MA | 01 |
| MN | PENDING | 05 |
| Street Address |
717 S STATE ST STE 900 |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881113546 | Kara Sue Ristau | Nurse Practitioner | 717 S State St Ste 900, Fairmont, MN 56031-4478 | 2017-09-13 |
| 1013316850 | Zachary Dahl | Specialist/Technologist | 717 S State St Ste 900, Fairmont, MN 56031-4478 | 2014-08-18 |
| 1538437728 | Revadean J Quastad | Nurse Practitioner | 717 S State St Ste 900, Fairmont, MN 56031 | 2011-12-02 |
| 1881608891 | Lynn Steinhaus | Physical Therapist | 717 S State St Ste 900, Fairmont, MN 56031-4478 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| 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 |
|---|---|---|---|---|
| 1073645826 | Marion Surgical Associates, Inc | Surgery | 1708 Locust Ave Ste 102, Fairmont, WV 26554-1332 | 2007-03-09 |
| 1518279223 | Kendra Kamlitz | Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2010-07-10 |
| 1447275920 | Hyun Il Kim | Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2006-07-13 |
| 1114904869 | Robert Fernandez | Surgery | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-12-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.