DR. RENAE DORRITY (NPI# 1629293055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629293055 |
| Entity Type | Individual |
| Full Name | DR. RENAE DORRITY |
| Credential | MD |
| Practice Address |
4300 Edgewood Dr Ne Saint Michael MN 55376-4588 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 7637444000 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50629 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4300 EDGEWOOD DR NE |
| City | SAINT MICHAEL |
| State | MN |
| Zip Code | 55376-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572099 | Azra Durakovic | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-01-16 |
| 1841661824 | Jennifer Poethke | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-10-15 |
| 1184092785 | Emily Jo Walker | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-09-14 |
| 1144618885 | Jenna Haugo | Nurse Practitioner | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2015-01-05 |
| 1831416577 | Mary Marjorie Tschida | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2010-04-20 |
| 1104090646 | Lisa Eileen Lovelace | Psychologist | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2008-04-16 |
| 1114112075 | April Marie Dornsbach | Physician Assistant | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2007-09-12 |
| 1710063250 | Michael R. Mcnelis | Obstetrics & Gynecology | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-10-27 |
| 1083643936 | Krista Ann Honsey | Obstetrics & Gynecology | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-07-02 |
| 1225087497 | Lynne M Stafford | Psychologist | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513128 | Jacqueline Jensen | Physical Therapist | 601 Central Ave W, Suite 102, St Michael, MN 55376 | 2019-05-17 |
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1518208313 | Allison Rae Delaney | Speech-Language Pathologist | 403 East Central Ave, Suite 102, Sunny Days Therapy, St. Michael, MN 55376 | 2013-03-05 |
| 1902195357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9 Central Ave E, Saint Michael, MN 55376 | 2011-04-06 |
| 1629148523 | John Richard Biorn | Dentist | 399 East Central Ave, St. Michael, MN 55376 | 2006-11-08 |
| 1124096730 | Catherine T Pham | Pediatrics | 4300 Edgewood Drive Ne, St. Michael, MN 55376 | 2006-03-09 |
| 1295256345 | Caleb John Mol | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2017-06-29 |
| 1508022922 | Katie J Stangl | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2008-08-05 |
| 1225100811 | Posthumus & Biorn, Inc. | Dentist | 399 Central Ave E, Saint Michael, MN 55376-0279 | 2006-11-15 |
| Find all providers in zip 55376 | ||||
| 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 |
|---|---|---|---|---|
| 1871572099 | Azra Durakovic | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-01-16 |
| 1831416577 | Mary Marjorie Tschida | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2010-04-20 |
| 1215999297 | Stewart Wayne Sahlberg | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-04-05 |
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|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MICHAEL |
| Zip Code | 55376 |
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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.