LEE ALAN MUSKOVITZ (NPI# 1457382475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457382475 |
| Entity Type | Individual |
| Full Name | LEE ALAN MUSKOVITZ |
| Practice Address |
13060 Isle Drive Baxter MN 56425 |
| Mailing Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 2188282880 |
| Mailing Telephone | 2187863814 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
39671 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32328900 | 05 | |
| MN | 665320100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 E 3rd St, Duluth, MN 558051951 | 2187863814 |
| Street Address |
13060 ISLE DRIVE |
| City | BAXTER |
| State | MN |
| Zip Code | 56425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568943090 | Erin S Swanson | Nurse Practitioner | 13060 Isle Drive, Baxter, MN 56425 | 2018-08-23 |
| 1720441926 | Katherine Colleen Thornton | Pediatrics | 13060 Isle Drive, Baxter, MN 56425 | 2016-04-04 |
| 1942558747 | Amy Marie Thesing | Nurse Practitioner | 13060 Isle Drive, Essentia Health St Joseph's Baxter Clinic Urgent Care, Baxter, MN 56425 | 2012-08-27 |
| 1174809792 | St Joseph's Medical Center | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1033555867 | Shiela Klemmetsen | Family Medicine | Essentia Health St. Joseph's-baxter Clinic, 13060 Isle Drive, Baxter, MN 56425 | 2013-05-20 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174882666 | Erin Anne Plummer | Pediatrics | 347 Smith Ave N Ste 505, Saint Paul, MN 55102 | 2012-05-03 |
| 1407000797 | Fredric Kleinberg | Pediatrics | 913 9th Ave Sw, Rochester, MN 55902-6363 | 2008-11-12 |
| 1699838300 | Mark Joseph Bergeron | Pediatrics | Mmc 39 420 Delaware Street Se, University of Minnesota Division of Neonatology, Minneapolis, MN 55455 | 2006-12-18 |
| 1679646228 | Judy Ann Rigby | Pediatrics | 1117 W Skyline Pkwy, Duluth, MN 55806-2326 | 2006-11-15 |
| 1285717082 | Kari Roberts | Pediatrics | Pwb Fourth Floor, Room 4-100, 516 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-23 |
| 1982710265 | Erin Clifford Stepka | Pediatrics | 9875 Hospital Drive, Maple Grove Hospital - Scn, Maple Grove, MN 55369 | 2006-08-21 |
| 1881690097 | Minnesota Neonatal Physicians | Pediatrics | 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 | 2005-06-22 |
| 1255951190 | Minnesota Neonatal Specialists | Pediatrics | 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 2020-04-21 |
| 1376023309 | Gianna Maria Braband | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-08-20 |
| 1467967448 | Magdalene Marie Anderson | Pediatrics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2017-12-12 |
| 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.