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).
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 |
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 |
Street Address |
523 N 3RD ST |
City | BRAINERD |
State | MN |
Zip Code | 56401-3054 |
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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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 Code | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306050067 | Peter R Ataro | Hospitalist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-05-10 |
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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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.