MARK A. VIRTUE (NPI# 1548315302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548315302 |
| Entity Type | Individual |
| Full Name | MARK A. VIRTUE |
| Credential | MD |
| Practice Address |
1185 Town Centre Dr Ste 205 Eagan MN 55123-1370 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
47134 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497980064 | Mark Virtue | Family Medicine | 330 Turner Mccall Blvd Sw, Suite 101, Rome, GA 30165-5630 | 2009-05-26 |
| Street Address |
1185 TOWN CENTRE DR STE 205 |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873377 | Craig A Solem | Internal Medicine | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2005-12-27 |
| 1043760820 | Amanda Laatsch | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2016-10-05 |
| 1003135765 | Kathryn Kempe O'morchoe | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2010-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609085 | Jeffrey Sanders | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2008-05-12 |
| 1801873377 | Craig A Solem | Internal Medicine | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2005-12-27 |
| 1922393347 | Corbett Ellis Shelton | Internal Medicine | 1185 Town Centre Dr #205, Eagan, MN 55123-1343 | 2011-06-14 |
| 1952587099 | Adam S. Kim | Internal Medicine | 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1187 | 2008-01-19 |
| 1578528675 | Catherine L. Skagen | Internal Medicine | 1185 Town Centre Dr, Eagan, MN 55123-1187 | 2006-04-20 |
| 1336116920 | Courtney E Barancin | Internal Medicine | 1185 Town Centre Dr, Suite 205, Eagan, MN 55123-1187 | 2006-03-02 |
| 1508838277 | Sandra L Denman | Internal Medicine | 1185 Town Centre Dr, Suite 205, Eagan, MN 55123-1343 | 2006-02-06 |
| 1295706620 | Nicholas Carl Boetticher | Internal Medicine | 1185 Town Centre Dr, Eagan, MN 55123-1187 | 2006-02-01 |
| 1700875457 | Ahmed El-sayed Kandiel | Internal Medicine | 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1187 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1114269461 | Sachin Mohan | Internal Medicine | 640 Jackson St # Mc11503f, Saint Paul, MN 55101-2502 | 2013-03-25 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1780829440 | Albert Dallas Newcomer | Internal Medicine | 437 Eagle Ln Sw, Rochester, MN 55902-4137 | 2008-12-10 |
| 1528215415 | Ronald F Kettering | Internal Medicine | 1635 11th Ave Ne, Rochester, MN 55906-4266 | 2008-08-21 |
| 1710147392 | Ridgeview Clinics | Internal Medicine | 560 South Maple Street, Suite 220, Waconia, MN 55387-0000 | 2008-06-17 |
| 1467640482 | Metropolitan Gastrointestinal Specialists | Internal Medicine | 17322 91st Ave N, Maple Grove, MN 55311-5403 | 2007-10-04 |
| 1144412503 | Paul R Dambowy | Internal Medicine | 1973 Sloan Pl Ste 100, Saint Paul, MN 55117-2085 | 2007-08-09 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
| 1598960312 | Mustafa A Tiewala | Internal Medicine | 825 S. 8th Street, Suite 250, Minneapolis, MN 55404-1208 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
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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.