DR. DANE JASON MITTENESS


Address: 111 17th Ave E, Alexandria, MN 56308-5273
Phone: 3207621511

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
100 Michigan St Ne, Grand Rapids, MI 495032560 6163911680

Office Location

Street Address 111 17TH AVE E
City ALEXANDRIA
State MN
Zip Code 56308-5273

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ALEXANDRIA
Zip Code 56308

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Dataset Information

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.

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