CAROL A ENTWISTLE (NPI# 1548239007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548239007 |
| Entity Type | Individual |
| Full Name | CAROL A ENTWISTLE |
| Other Name | CAROL A ERIKSSON |
| Credential | MD |
| Practice Address |
7460 80th St S Cottage Grove MN 55016-3007 |
| Practice Telephone | 6513265800 |
| Practice Fax Number | 6513265802 |
| Mailing Telephone | 6513265800 |
| Mailing Fax Number | 6513265802 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23244 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
7460 80TH ST S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578522744 | Jeffrey D Nelson | Family Medicine | 7460 80th St S, Cottage Grove, MN 55016-3007 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| 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 |
|---|---|---|---|---|
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1821363227 | James Michael Tandrow | Family Medicine | 205 Buttercup Loop, Cottage Grove, OR 97424-2069 | 2012-03-19 |
| 1922322619 | Sheryl Spitzer -resnick Md, LLC | Family Medicine | 251 East Cottage Grove Road, Cottage Grove, WI 53527 | 2010-03-24 |
| 1821277716 | Shaswita Chintalpuri | Family Medicine | 7500 80th Street South, Suite 100 - Mail Stop 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-10-29 |
| 1912120114 | Mary E Gabriele | Family Medicine | 502 E Whiteaker Ave, Cottage Grove, OR 97424-1648 | 2007-04-10 |
| 1386769735 | Joseph R.f. Kalugdan | Family Medicine | 7500 80th St S Ste 100, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | 2007-03-21 |
| 1275663247 | Paul A Bilder | Family Medicine | 1445 Gateway Blvd., Cottage Grove, OR 97424 | 2007-03-07 |
| 1225115124 | Wildwood Family Clinic, Sc | Family Medicine | 535 Southing Grange, Cottage Grove, WI 53527-9338 | 2006-11-01 |
| 1487748943 | Katrina Carol Groves-rehwaldt | Family Medicine | 1515 Village Dr Ste 200, Cottage Grove, OR 97424 | 2006-10-02 |
| 1215980792 | Martha J Masciopinto | Family Medicine | 10010 Kimbro Ave S, Cottage Grove, MN 55016-4151 | 2006-05-18 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
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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.