OSSEO CLINIC, P.A. (NPI# 1588764765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588764765 |
| Entity Type | Organization |
| Organization Name | OSSEO CLINIC, P.A. |
| Practice Address |
226 Central Ave Osseo MN 55369-1245 |
| Practice Telephone | 7634252117 |
| Practice Fax Number | 7634253935 |
| Mailing Telephone | 7634252117 |
| Mailing Fax Number | 7634253935 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANITA ANN KLATT (OFFICE MANAGER) |
| Authorized Official Telephone | 7634252117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 111342 | 01 |
| MN | RAILROAD MEDICARE | CP7777 | 01 |
| MN | PREFERRED ONE | 98340 | 01 |
| MN | BLUE SHIELD | 13161OS | 01 |
| MN | HEALTH PARTNERS | 4862 | 01 |
| Street Address |
226 CENTRAL AVE |
| City | OSSEO |
| State | MN |
| Zip Code | 55369-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023052198 | Jane Marie Murray | Family Medicine | 226 Central Ave, Osseo, MN 55369-1245 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1194258756 | Hariprasath Mahaswaran | Family Medicine | 13025 8th Street, Osseo, WI 54758-7636 | 2017-04-10 |
| 1083941108 | Bruce A. Gerlinger | Family Medicine | 50869 Main St, Osseo, WI 54758-7000 | 2009-11-10 |
| 1023052198 | Jane Marie Murray | Family Medicine | 226 Central Ave, Osseo, MN 55369-1245 | 2006-06-16 |
| 1366403750 | Bradley G Garber | Family Medicine | 13031 8th St, Osseo, WI 54758-7634 | 2006-03-28 |
| 1376511543 | Kevin S Raff | Family Medicine | 50 Central Ave, Osseo, MN 55369 | 2006-03-14 |
| 1023424561 | Abraham Tiffany | Family Medicine | 13025 8th St, Osseo, WI 54758 | 2014-07-04 |
| 1336404243 | Marta Lois Lasater | Family Medicine | 13025 8th St, Osseo, WI 54758-7634 | 2012-07-06 |
| 1063779973 | Kristin L Kipka | Family Medicine | 50 Central Ave, Osseo, MN 55369-1241 | 2012-04-16 |
| 1083993687 | Gagandeep Singh | Family Medicine | 13025 8th St, Osseo, WI 54758 | 2011-08-12 |
| 1407967011 | Walter G Downey | Family Medicine | 13031 8th St, Osseo, WI 54758-7634 | 2006-08-31 |
| Find all providers in OSSEO | ||||
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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.