DONNA J MUMERT (NPI# 1720099534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720099534 |
| Entity Type | Individual |
| Full Name | DONNA J MUMERT |
| Credential | M.D. |
| Practice Address |
1900 Centracare Circle #1450, Centracare Clinic - Plaza - Family Medicine St Cloud MN 56303-5000 |
| Practice Telephone | 3202294917 |
| Mailing Telephone | 3202294917 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49196 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 37828 | IA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 7421 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BM4824377 | 01 | |
| MN | BLUE CROSS BLUE SHEILD | 550G7MU | 01 |
| MN | HEALTH PARTNERS | HP69862 | 01 |
| MN | MEDICA | 01-24227 | 01 |
| Street Address |
1900 CENTRACARE CIRCLE #1450, CENTRACARE CLINIC - PLAZA - FAMILY MEDICINE |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815051 | Jennifer J Rogan | Pediatrics | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2005-07-20 |
| 1659694628 | Bethany T. Dingmann | Dietitian, Registered | 1900 Centracare Circle, Suite 2500, St Cloud, MN 56303-5000 | 2010-03-05 |
| 1073708608 | Rachel Wenner Ruzanic | Dermatology | 1900 Centracare Circle, Centracare Clinic- Health Plaza Specialties, St Cloud, MN 56303-5000 | 2007-09-06 |
| 1982737938 | Daniel W Kraft | Internal Medicine | 1900 Centracare Circle, Centracare Clinic Health Plaza Gastroenterology, St Cloud, MN 56303 | 2007-03-13 |
| 1154466209 | Robin C Marushin | Obstetrics & Gynecology | 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 | 2007-02-20 |
| 1124173919 | David M Pence | Radiology | 1900 Centracare Circle, St Cloud, MN 56303 | 2007-01-24 |
| 1659425114 | Centracare Clinic | Durable Medical Equipment & Medical Supplies | 1900 Centracare Circle, Centracare Clinic Internal Medicine, St Cloud, MN 56303 | 2007-01-22 |
| 1720155336 | Nelson L Adamson | Radiology | 1900 Centracare Circle, Centracare Clinic Health Plaza Specialties, St Cloud, MN 56303-5000 | 2006-11-29 |
| 1588734214 | Erin Y Scapanski | Physician Assistant | 1900 Centracare Circle, Centracare Clinic, St Cloud, MN 56303 | 2006-11-09 |
| 1639248065 | Donna F Johnson | Psychologist | 1900 Centracare Circle, Centracare Health Plaza, St Cloud, MN 56303 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| 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 |
|---|---|---|---|---|
| 1184719437 | Maureen L Kemper | Family Medicine | 1900 Centracare Cir, #1450, Centracare Clinic Health Plaza Specialty/family Medicin, St Cloud, MN 56303-5000 | 2006-10-04 |
| 1396711859 | Scott A Bammann | Family Medicine | 1245 15th Street N, St Cloud, MN 56303-1802 | 2006-02-24 |
| 1205816162 | Stacey Lynn Luetmer | Family Medicine | 1900 Centracare Circle #500, Centracare Urgency Center, St Cloud, MN 56303-5000 | 2006-01-18 |
| 1124003751 | Penelope Juvrud Smith | Family Medicine | 1520 Whitney Ct, Centra Care Clinic, St Cloud, MN 56303-1899 | 2005-12-07 |
| 1659362507 | Tammy L Meyerhofer | Family Medicine | 1520 Northway Court, Centracare Clinic Heartland, St Cloud, MN 56303 | 2005-10-31 |
| 1629344023 | Jennifer M Taves | Family Medicine | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2012-03-29 |
| 1780993345 | Viktoriya V. Vladykina | Family Medicine | 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | 2010-09-30 |
| 1821252800 | Amanda Lea Lovold | Family Medicine | 1520 Whitney Ct, Centracare Clinic-heartland Family Medicine, St Cloud, MN 56703-1899 | 2008-07-18 |
| 1245419134 | Lina Daugela | Family Medicine | 251 County Road 120, Centracare Clinic St Cloud Medical Group Northwest, St Cloud, MN 56303-4872 | 2007-10-29 |
| 1366580136 | Jimmie Lewis Browning | Family Medicine | 1555 Northway Drive, Suite 200, St Cloud, MN 56303-4913 | 2007-02-02 |
| Find all providers in ST CLOUD | ||||
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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.