DR. MICHAEL R. MCNELIS (NPI# 1710063250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710063250 |
Entity Type | Individual |
Full Name | DR. MICHAEL R. MCNELIS |
Credential | M.D. |
Practice Address |
4300 Edgewood Dr Ne Saint Michael MN 55376-4588 |
Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
Practice Telephone | 7637444000 |
Practice Fax Number | 7637444124 |
Mailing Telephone | 6122625000 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-11-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 45795 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003801440 | Michael J Mcnelis | Anesthesiology | 200 Providence Rd, Suite 101, Charlotte, NC 28207-1437 | 2005-09-13 |
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 |
1629293055 | Renae Dorrity | Family Medicine | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2007-04-13 |
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 |
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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 | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083643936 | Krista Ann Honsey | Obstetrics & Gynecology | 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 | 2006-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316581218 | Catherine Pamela Edwards | Obstetrics & Gynecology | 7048 Highover Ct S, Chanhassen, MN 55317-7569 | 2019-11-04 |
1407329139 | Arthur Joseph Horowitz | Obstetrics & Gynecology | 830 Edgemoor Dr, Hopkins, MN 55305-4852 | 2019-01-04 |
1710437967 | David Olson | Obstetrics & Gynecology | 8201 Creekside Cir, Bloomington, MN 55437-3836 | 2016-10-12 |
1326492182 | Leah Christine Henke | Obstetrics & Gynecology | 688 Holly Ave Apt 5, Saint Paul, MN 55104-7557 | 2016-04-19 |
1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
1285052027 | Paige Persch | Obstetrics & Gynecology | 6565 France Ave S Ste 300, Edina, MN 55435-2154 | 2014-03-30 |
1386065100 | Jennifer Arnhold Md Plc | Obstetrics & Gynecology | 13359 Isle Dr. Suite 2, Baxter, MN 56425-2222 | 2013-12-20 |
1598008716 | Sarah Marie Krueger | Obstetrics & Gynecology | 606 24th Ave S Ste 700, Minneapolis, MN 55454-1462 | 2013-04-05 |
1922341791 | Matthew Thomas Bigos | Obstetrics & Gynecology | 14001 Ridgedale Dr Ste 200, Minnetonka, MN 55305-1747 | 2013-03-31 |
1205191335 | William F Dickes | Obstetrics & Gynecology | 14708 57th St S, Afton, MN 55001-9686 | 2012-07-04 |
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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.