KARA LEE MAUCIERI (NPI# 1497739247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497739247 |
| Entity Type | Individual |
| Full Name | KARA LEE MAUCIERI |
| Other Name | KARA LEE DAHLEN |
| Credential | MD |
| Practice Address |
318 E Main St Central Lakes Medical Clinic Pa Crosby MN 56441-1691 |
| Mailing Address |
320 E Main St Crosby MN 56441-1645 |
| Practice Telephone | 2185467000 |
| Practice Fax Number | 2185454456 |
| Mailing Telephone | 2185467000 |
| Mailing Fax Number | 2185454456 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38856 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | E007 | 01 | |
| RR MEDICARE | 080122966 | 01 | |
| UCARE | 112865C750 | 01 | |
| MEDICA | 0116180 | 01 | |
| AETNA | 7884035 | 01 | |
| PREFERRED ONE | NS1141016489 | 01 | |
| AMERICAS PPO | 779799 | 01 | |
| BCBS | 50Q23MA | 01 | |
| MN | 246823900 | 05 | |
| HEALTHPARTNERS | HP26005 | 01 | |
| MEDICARE | 080006801 | 01 |
| Street Address |
318 E MAIN ST CENTRAL LAKES MEDICAL CLINIC PA |
| City | CROSBY |
| State | MN |
| Zip Code | 56441-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245666809 | Jenna Christine Roberts | Physician Assistant | 318 E Main St, Crosby, MN 56441-1645 | 2013-09-16 |
| 1952565830 | Thomas M. Lewandowski | Physician Assistant | 318 E Main St, Crosby, MN 56441-1645 | 2008-07-10 |
| 1518120237 | Erik W. Vilen | Family Medicine | 318 E Main St, Crosby, MN 56441-1645 | 2008-07-02 |
| 1700938214 | Ridgeview Clinics | Otolaryngology | 318 E Main St, Crosby, MN 56441-1645 | 2007-01-17 |
| 1396764049 | Elizabeth Victoria Delesante | Psychiatry & Neurology | 318 E Main St, Crosby, MN 56441-1645 | 2006-07-19 |
| 1336168905 | Clay D Schulte | Emergency Medicine | 318 E Main St, Crosby, MN 56441-1645 | 2006-07-18 |
| 1861434151 | Crosby Cardiovascular Services, LLC | Clinic/Center | 318 E Main St, Crosby, MN 56441-1645 | 2006-06-12 |
| 1164407110 | Gayle Rogers Cousins | Audiologist | 318 E Main St, Central Lakes Medical Clinic Pa, Crosby, MN 56441-1691 | 2005-12-13 |
| 1750366100 | Kristin Ann Schmidt | Audiologist-Hearing Aid Fitter | 318 E Main St, Central Lakes Medical Center Pa, Crosby, MN 56441-1691 | 2005-12-08 |
| 1104800960 | Kenneth Gerard Fogal | Psychologist | 318 E Main St, Central Lakes Medical Clinic,pa, Crosby, MN 56441-1691 | 2005-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886013 | Absolute Wellness, Pllc | Family Medicine | 14626 Crosby-lynchburg Rd, Unit C, Crosby, TX 77532 | 2020-06-22 |
| 1265516306 | Center for Family & Preventive Medicine, Pa | Family Medicine | 14700 Fm 2100 Rd Ste A, Crosby, TX 77532-9161 | 2006-10-25 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1922058866 | Bruce Mark Dahlman | Family Medicine | 20 E Main St, Crosby, MN 56441-1614 | 2006-05-11 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1356332407 | Randall Ora Card | Family Medicine | 320 E Main St, Crosby, MN 56441-1645 | 2005-10-28 |
| 1679574826 | David Mark Mcclellan | Family Medicine | 5214 S Main St, Crosby, TX 77532-5825 | 2005-08-09 |
| 1790383644 | Home Town Health & Wellness, Pllc | Family Medicine | 16515 Jury Rig Ct, Crosby, TX 77532-5104 | 2020-10-13 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1013165851 | Camille E Lang | Family Medicine | 320 E Main St, Central Lakes Medical Clinic, Pa, Crosby, MN 56441-1645 | 2008-09-05 |
| Find all providers in CROSBY | ||||
Please comment or provide details below to improve the information on KARA LEE MAUCIERI.
| 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.