MANEESH C. KANAL (NPI# 1700271012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700271012 |
| Entity Type | Individual |
| Full Name | MANEESH C. KANAL |
| Credential | MD |
| Practice Address |
323 S Minnesota St Crookston MN 56716 |
| Mailing Address |
323 S Minnesota St Crookston MN 56716-1601 |
| Practice Telephone | 2182819293 |
| Mailing Telephone | 2182819293 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 63484 | MN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 63484 | MN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 63484 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
323 S MINNESOTA ST |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164492716 | Lance Michael Norman | Occupational Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-01-25 |
| 1538786207 | Forrest Laporte | Nurse Practitioner | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-06-29 |
| 1003437369 | Samantha Brentrup | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2020-04-28 |
| 1275091282 | Kelsey Billing | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2019-03-08 |
| 1174008288 | Maen Abou-ghaida | Orthopaedic Surgery | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-25 |
| 1417430588 | Monica Annette Wells | Registered Nurse | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-09-13 |
| 1043799612 | Braydon Gourneau | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-14 |
| 1952880668 | Shelby Knott | Pharmacist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-13 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1194204610 | Rhonda June Salentiny | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716-1601 | 2018-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| 1114270550 | William T Erickson | Dentist | 1726 University Ave, Crookston, MN 56716 | 2012-10-23 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1760589543 | James Dean Brosseau | Internal Medicine | 400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716-1808 | 2006-09-20 |
| 1225449846 | Sherine Talaat | Internal Medicine | 323 S Minnesota St, Crookston, MN 56716-1601 | 2014-05-16 |
| 1376638627 | Donna A Anel | Internal Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-10-04 |
| 1437242476 | Theodore S Olson | Internal Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-10-02 |
| 1063504496 | Bruce L Ring | Internal Medicine | 400 S Minnesota St, Crookston, MN 56716-1808 | 2006-09-30 |
| 1700823598 | Olatubosun Fashoro | Internal Medicine | 323 S Minnesota St, Crookston, MN 56716-1601 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359495 | Julie Ann Schroeder | Internal Medicine | 14370 Guthrie Ave, Apple Valley, MN 55124-6729 | 2020-06-03 |
| 1023644069 | Jeffrey Howard Mandel | Internal Medicine | 6204 Westridge Blvd, Edina, MN 55436-2569 | 2020-03-22 |
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1316454077 | Independent Medical Clinic Pa | Internal Medicine | 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 | 2018-01-03 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1841650306 | Megan Mcgovern | Internal Medicine | 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 | 2016-02-26 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1700266079 | Jacob Wagner | Internal Medicine | D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 | 2015-06-02 |
| 1659750503 | Melissa Ann Plesac | Internal Medicine | 500 Harvard St Se # 741, Minneapolis, MN 55455 | 2015-05-26 |
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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.