MINNESOTA ONCOLOGY HEMATOLOGY PA (NPI# 1598178733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598178733 |
Entity Type | Organization |
Organization Name | MINNESOTA ONCOLOGY HEMATOLOGY PA |
Practice Address |
110105 Pioneer Trl W Suite 302 Chaska MN 55318-2680 |
Practice Telephone | 9529282900 |
Practice Fax Number | 9529282944 |
Mailing Telephone | 9529282900 |
Mailing Fax Number | 9529282944 |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |
Authorized Official Name | DR. DEAN GESME (PRESIDENT) |
Authorized Official Telephone | 6516025375 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | 1076 | MN | Dietary & Nutritional Service Providers |
N | 170300000X | Genetic Counselor, MS | 1076 | MN | Other Service Providers |
N | 207R00000X | Internal Medicine | 1076 | MN | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1076 | MN | Allopathic & Osteopathic Physicians |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 364S00000X | Clinical Nurse Specialist | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235498619 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 | 2012-05-07 |
1629387303 | Minnesota Oncology Hematology Pa | Clinic/Center | 3960 Coon Rapids Blvd Nw, # 311, Coon Rapids, MN 55433-2569 | 2010-09-29 |
1144281304 | Minnesota Oncology Hematology Pa | Pharmacy | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-03-29 |
Street Address |
110105 PIONEER TRL W SUITE 302 |
City | CHASKA |
State | MN |
Zip Code | 55318-2680 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609845833 | Alicia J Wojchik | Nurse Practitioner | 110105 Pioneer Trl W, Suite 302, Chaska, MN 55318-2680 | 2006-03-17 |
1386192276 | Nik Gustafson | Specialist/Technologist | 110105 Pioneer Trl W, Suite 201, Chaska, MN 55318-2680 | 2016-09-20 |
1235686742 | Ethan Meyer | Specialist/Technologist | 110105 Pioneer Trl W, #201, Chaska, MN 55318-2680 | 2016-09-01 |
1316367063 | Victoria Zbikowski | Family Medicine | 110105 Pioneer Trl W, Chaska, MN 55318-2680 | 2014-04-21 |
1669551495 | Laurel L Erickson | Pediatrics | 110105 Pioneer Trl W, Chaska, MN 55318 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
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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.