DR. TIMOTHY GENE HIESTERMAN (NPI# 1508044421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508044421 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GENE HIESTERMAN |
| Credential | D.O. |
| Practice Address |
1901 Connecticut Ave S Sartell MN 56377-2554 |
| Practice Telephone | 3202594100 |
| Practice Fax Number | 3202575523 |
| Mailing Telephone | 3202594100 |
| Mailing Fax Number | 3202575523 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
52671 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1901 CONNECTICUT AVE S |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851337299 | Rusty Burress | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2006-06-22 |
| 1336750488 | Megan Ocel | Occupational Therapist | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2020-08-12 |
| 1982234514 | Thomas Rogers | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2020-01-23 |
| 1235623455 | Joseph Mathew Fortier | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2018-06-20 |
| 1346733144 | Hans Richard Backlund | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2018-06-07 |
| 1316456262 | Ashley Marie Patterson | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2017-09-22 |
| 1023544848 | Emil Trutwin | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2017-05-11 |
| 1760922405 | Teresa Dufresne | Occupational Therapist | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2017-02-28 |
| 1487007217 | Caitlin Muir | Specialist/Technologist | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2016-07-17 |
| 1861842569 | Stefani Erin Burandt | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2016-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
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| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770978629 | Lawrence Colby Ward Jr. | Orthopaedic Surgery | 701 Park Ave, Minneapolis, MN 55415-1623 | 2015-03-30 |
| 1063816718 | Erika Patricia Chirpich | Orthopaedic Surgery | 200 1st St Sw, Rochester, MN 55905-4575 | 2014-10-09 |
| 1689015687 | Alistair Ross Demcoe | Orthopaedic Surgery | 640 Jackson St, Regions Hospital-department of Orthopaedic Surgery, Saint Paul, MN 55101-2502 | 2013-07-08 |
| 1518303676 | Robert David Wojahn | Orthopaedic Surgery | 435 Phalen Blvd, Saint Paul, MN 55130-5302 | 2013-05-16 |
| 1700041241 | Gudrun Elizabeth Mirick Mueller | Orthopaedic Surgery | 701 Park Ave, Minneapolis, MN 55415-1623 | 2008-07-24 |
| 1578756508 | Paul M Lafferty | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435 | 2007-08-22 |
| 1679773386 | Jennifer Hogan Wood | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2007-07-20 |
| 1790756336 | Paul T Wicklund | Orthopaedic Surgery | 17 Exchange St W, Suite 222, Saint Paul, MN 55102-1045 | 2006-01-31 |
| 1447221361 | Randy S Twito | Orthopaedic Surgery | 435 Phalen Blvd, Healthpartners Speciality Center 435, St. Paul, MN 55130-5302 | 2006-01-30 |
| 1295706059 | Jay S Johnson | Orthopaedic Surgery | 7373 France Ave S, Suite 312, Edina, MN 55435-4534 | 2006-01-30 |
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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.