PETER KIRK DAHLSTROM (NPI# 1588808638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588808638 |
| Entity Type | Individual |
| Full Name | PETER KIRK DAHLSTROM |
| Credential | M.D. |
| Practice Address |
1055 Centerville Cir Vadnais Heights MN 55127-5033 |
| Practice Telephone | 3513265900 |
| Mailing Telephone | 6513265900 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52971 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1055 CENTERVILLE CIR |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 55127-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437134541 | Dina M Andreotti | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2005-12-12 |
| 1902311244 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2017-12-08 |
| 1366730509 | Maya Highness | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2011-07-20 |
| 1518182427 | Jessica Mary Flynn | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2007-04-16 |
| 1255443966 | Debra Anne Parrish | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-08-31 |
| 1639125503 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-05-25 |
| 1972563336 | Amy M Medley | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-03-28 |
| 1346200854 | Stuart R Pemberton | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-03-27 |
| 1811957525 | Mary Beth Charland | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-03-25 |
| 1285694919 | Reid A Gilbertson | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| 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 |
|---|---|---|---|---|
| 1972573566 | Kirk Leslie Scofield | Family Medicine | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2006-01-25 |
| 1437134541 | Dina M Andreotti | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2005-12-12 |
| 1659802510 | Haley Stewart | Family Medicine | 480 Highway 96 E, Vadnais Heights, MN 55127-2557 | 2017-03-22 |
| 1942697131 | Thomas Haroldson | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2015-04-25 |
| 1366730509 | Maya Highness | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2011-07-20 |
| 1972764165 | Jamie M Kalafatich | Family Medicine | 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110-5183 | 2008-06-19 |
| 1518182427 | Jessica Mary Flynn | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2007-04-16 |
| 1255443966 | Debra Anne Parrish | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-08-31 |
| 1770599458 | Theresa M Wollan | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2006-08-01 |
| 1740294016 | Keith A Oelschlager | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2006-07-29 |
| Find all providers in VADNAIS HEIGHTS | ||||
| City | VADNAIS HEIGHTS |
| Zip Code | 55127 |
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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.