DR. DANE JASON MITTENESS (NPI# 1538573613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538573613 |
Entity Type | Individual |
Full Name | DR. DANE JASON MITTENESS |
Credential | M.D. |
Practice Address |
111 17th Ave E Alexandria MN 56308-5273 |
Practice Telephone | 3207621511 |
Enumeration Date | 2014-06-17 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 62377 | MN | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 4301105695 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
100 Michigan St Ne, Grand Rapids, MI 495032560 | 6163911680 |
Street Address |
111 17TH AVE E |
City | ALEXANDRIA |
State | MN |
Zip Code | 56308-5273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164424305 | Douglas County Hospital | General Acute Care Hospital | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-06-01 |
1679047013 | Kayla Hughes | Nurse Anesthetist, Certified Registered | 111 17th Ave E, Alexandria, MN 56308-5273 | 2019-01-18 |
1750776530 | Benjamin Andrew Kitt | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2015-03-30 |
1760873491 | Amanda Kristine Nefstead | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2015-02-17 |
1558767483 | Samantha Bourcy | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2014-11-04 |
1083029490 | Amanda Leigh Knettel | Physical Therapist | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-24 |
1013334572 | Meghan Ruhr | Registered Nurse | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-03-23 |
1598196149 | Heidi Stark | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2013-12-09 |
1396174330 | Michael James Kunstle | Physician Assistant | 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 | 2013-11-08 |
1992147797 | Keri Ann Anderson | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2013-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
Find all providers in zip 56308 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
1508178112 | Katherine H Ellis | Emergency Medicine | 304 S West St, Alexandria, VA 22314-5916 | 2010-07-12 |
1285779165 | Velva Boles | Emergency Medicine | 5601 Downing Street, Alexandria, LA 71301 | 2007-02-20 |
1871677799 | Leslie R Pickens | Emergency Medicine | 6020 Richmond Hwy Ste 100, Alexandria, VA 22303-2157 | 2006-10-25 |
1265545701 | Joseph D. Awotwi | Emergency Medicine | 3301 Prescott Road, Suite 210, Alexandria, LA 71301 | 2006-08-17 |
1396761011 | Jonathan Weisul | Emergency Medicine | 4401 Wellington Blvd, Alexandria, LA 71303-2833 | 2006-07-14 |
1154355287 | Fred Michael Reid | Emergency Medicine | 311 Camille St, Alexandria, LA 71301-2702 | 2006-07-11 |
1992731459 | Jeremy Riley Timmer | Emergency Medicine | 201 4th St Ste 5b, Alexandria, LA 71301 | 2006-06-24 |
1326096991 | Mary Emery Palmer | Emergency Medicine | 225 N Fairfax St, 2nd Floor, Alexandria, VA 22314-2646 | 2006-05-05 |
1548229636 | George Daniel Edwards IIi | Emergency Medicine | 211 4th Street, Alexandria, LA 71301 | 2006-03-20 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 56308 |
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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.