TEGAN NICOLE JOHN


Address: 523 N 3rd St, Brainerd, MN 56401-3054
Phone: 2188292861

TEGAN NICOLE JOHN (NPI# 1669905337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669905337
Entity Type Individual
Full Name TEGAN NICOLE JOHN
Credential D.O.
Practice Address 523 N 3rd St
Brainerd
MN 56401-3054
Mailing Address 1702 University Dr S
Fargo
ND 58103-4940
Practice Telephone 2188292861
Practice Fax Number 2188283103
Enumeration Date 2017-04-09
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist 66083 MN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 523 N 3RD ST
City BRAINERD
State MN
Zip Code 56401-3054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821096496 Richard F Galbraith Chiropractor 523 N 3rd St, Brainerd, MN 56401-3054 2005-07-08
1083211676 Aaron John Stanley Student in an Organized Health Care Education/Training Program 523 N 3rd St, Brainerd, MN 56401-3054 2020-10-06
1427675909 Amanda K Redning Psychiatry & Neurology 523 N 3rd St, Brainerd, MN 56401-3054 2020-06-30
1508487836 St Josephs Medical Center Rehabilitation, Substance Use Disorder Unit 523 N 3rd St, Brainerd, MN 56401-3054 2020-04-28
1285284240 Jennifer Lee Stange Dietitian, Registered 523 N 3rd St, Brainerd, MN 56401-3054 2019-09-12
1629585302 Jacob S Brusehaver Occupational Therapist 523 N 3rd St, Brainerd, MN 56401-3054 2018-01-04
1366827750 Cheryl Winch Physical Therapist 523 N 3rd St, Brainerd, MN 56401-3054 2015-07-27
1629450689 Richard V Castle Internal Medicine 523 N 3rd St, Brainerd, MN 56401 2015-06-25
1417336173 Leah Lempola Nurse Practitioner 523 N 3rd St, Medical Staff Office, Brainerd, MN 56401-3054 2015-05-27
1083014385 Danette Lee Diethert Nurse Practitioner 523 N 3rd St, Brainerd, MN 56401-3054 2014-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396222832 Nicholas James Manning Physical Therapist 7350 Clearwater Rd N, Baxter, MN 56401 2018-07-27
1952819757 Hannah Marie Darabi Physical Therapist Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 2018-01-15
1154867406 Nancy Ann Schauer Social Worker 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 2017-01-10
1336530310 Audrey Jean Twit Pharmacist 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 2015-02-11
1245638584 The Renneke Chiropractic Clinic Physical Therapist 623 Madison St., Brainerd, MN 56401 2014-12-19
1124420179 Jenna Niggeler Acupuncturist 1001 Kingwood St Ste 119a, Brainerd, MN 56401 2014-09-22
1073933719 Nicholas Adam Lesmeister Orthopaedic Surgery 2014 South 6th Street, Brainerd, MN 56401 2014-04-21
1073864666 Jennifer L. Owens Marriage & Family Therapist 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 2012-09-24
1619297447 Christine Elaine Smalling Licensed Practical Nurse 6317 Estate Circle Drive, Brainerd, MN 56401 2010-06-03
1528241577 Dannia Lor Vang Pharmacist 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 2007-12-13
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306050067 Peter R Ataro Hospitalist 523 N 3rd St, Brainerd, MN 56401-3054 2007-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538446059 Salwa Bakkali Derksen Hospitalist 2000 N Avenue, Northfield, MN 55057 2011-11-11
1710270665 Ryan James Greiner Hospitalist 1812 Clinton Ave Apt 102, Minneapolis, MN 55404-2466 2011-05-25
1831326446 Shirlee Xiaoping Xie Hospitalist 701 Park Ave South - Dept of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415 2009-06-22
1821239161 Andrew George Keenan Hospitalist Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 2009-03-17
1346413291 Tammy Jo Olson Hospitalist Essentia Health St. Mary's Detroit Lakes Hospital, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 2008-04-10
1497947345 Saroj Shrestha Hospitalist 5 Crown Hill Ln, Mankato, MN 56001-4986 2007-08-14
1689200578 St. Luke's Hospital of Duluth Hospitalist 915 E 1st St, Duluth, MN 55805-2193 2020-03-23
1225662695 Rebecca D Peterson Hospitalist 1027 Washington Ave, Detroit Lakes, MN 56501-3409 2020-02-25
1427543735 Becky Randall Hospitalist 1406 6th Ave N, St. Cloud, MN 56303-1901 2018-06-28
1396269288 Erin Lynn Weier Hospitalist 1200 6th Ave N, Saint Cloud, MN 56303-2735 2017-08-01
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Competitor

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City BRAINERD
Zip Code 56401

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Dataset Information

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.

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