PAUL DAVID HARTZHEIM (NPI# 1588759104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588759104 |
| Entity Type | Individual |
| Full Name | PAUL DAVID HARTZHEIM |
| Credential | M.D. |
| Practice Address |
701 Hewitt Blvd Red Wing MN 55066-2848 |
| Mailing Address |
Po Box 40 Caribou ME 04736-0040 |
| Practice Telephone | 6512675000 |
| Mailing Telephone | 2074982359 |
| Mailing Fax Number | 2074983947 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD18302 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3028759 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2751 Hennepin Ave, #308, Minneapolis, MN 554081002 | 6153304933 |
| Street Address |
701 HEWITT BLVD |
| City | RED WING |
| State | MN |
| Zip Code | 55066-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101128 | Brian D Proctor | Psychiatry & Neurology | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2005-06-01 |
| 1063027332 | Ryan Hannan | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-09-13 |
| 1164035838 | Jennifer Kuehn | Clinical Exercise Physiologist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-08-24 |
| 1174147607 | Gina Lee | Advanced Practice Midwife | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-06-01 |
| 1942832712 | Jacqueline J Meyer-rostad | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-10 |
| 1326679853 | Joseph Gonzales | Dietitian, Registered | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
| 1669003133 | Sara Lynn Stenlund | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
| 1013556489 | Lara Louise Beacom | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-01-02 |
| 1306482229 | Brian Burroughs | Physician Assistant | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-26 |
| 1417593922 | Mary Verdun | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407034663 | Christopher Allen Kasal | Surgery | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2008-02-08 |
| 1982802815 | Larry Matthew Deppe | Surgery | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2007-07-03 |
| 1184690638 | Thomas H Blee | Surgery | 701 Fairview Blvd, Red Wing, MN 55066-2848 | 2006-02-24 |
| 1053386359 | John L Sander | Surgery | 701 Fairview Blvd, Red Wing, MN 55066-2848 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
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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.