DR. MARTY THOMAS MERTENS (NPI# 1558555896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558555896 |
| Entity Type | Individual |
| Full Name | DR. MARTY THOMAS MERTENS |
| Credential | M.D. |
| Practice Address |
401 Phalen Blvd 41103a Saint Paul MN 55130-5302 |
| Practice Telephone | 6512547800 |
| Practice Fax Number | 6512547806 |
| Mailing Telephone | 6512547800 |
| Mailing Fax Number | 6512547806 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
53102 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
401 PHALEN BLVD 41103A |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699740 | Marlane J Brown | Optometrist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2005-09-16 |
| 1588297113 | Choua Yang Polaski | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-02-21 |
| 1588295687 | Fadumo Adan Salad | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-28 |
| 1992345110 | Hannah Kristine Dahl | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-15 |
| 1417476185 | Rebecca Horvath | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-09-14 |
| 1154867430 | Erika Jarvey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-01-11 |
| 1134674682 | Kacie Jo Massey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-24 |
| 1902251325 | Jennifer Lonetti | Physical Therapist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-05-04 |
| 1003270232 | Andrea Langeveld | Dermatology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-04-13 |
| 1649640152 | Brittany Rae Kelly | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1134514201 | Eric S Miller | Internal Medicine | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-04-05 |
| 1679916837 | Marc William Nolan | Internal Medicine | 401 Phalen Blvd, Saint Paul, MN 55130 | 2013-04-08 |
| 1760776512 | Joseph S Bert | Internal Medicine | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2011-06-08 |
| 1497073852 | Jessica T Thueringer | Internal Medicine | 401 Phalen Blvd, Health Partners Specialty Center, Saint Paul, MN 55130-5302 | 2010-05-11 |
| 1821209255 | Steve Flinkenstein | Internal Medicine | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2007-05-25 |
| 1548347594 | Prasanthi Meagher | Internal Medicine | 255 Smith Ave N, #100, Saint Paul, MN 55102-2572 | 2006-11-01 |
| 1548222425 | Martha E Grandits | Internal Medicine | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-04-05 |
| 1932168036 | Gary L. Baker | Internal Medicine | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-03-20 |
| 1942275243 | Thomas M Harkcom | Internal Medicine | 401 Phalen Blvd, Ms 41103a, Saint Paul, MN 55130-5302 | 2006-02-21 |
| 1386618874 | Daniel E Hathaway | Internal Medicine | 401 Phalen Blvd, Mail Stop 41103a, Saint Paul, MN 55101-5302 | 2006-02-14 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
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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.