DR. COURTENAY E DEANE (NPI# 1720333891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720333891 |
| Entity Type | Individual |
| Full Name | DR. COURTENAY E DEANE |
| Credential | DO |
| Practice Address |
320 E Main St Crosby MN 56441-1645 |
| Mailing Address |
320 East Main Street Crosby MN 56441 |
| Practice Telephone | 2185467000 |
| Practice Fax Number | 2185464400 |
| Mailing Telephone | 2185467000 |
| Mailing Fax Number | 2185464400 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 62113 | MN | Allopathic & Osteopathic Physicians |
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO2702 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | 62113 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21725 Reno Lake Rd, Deerwood, MN 564448545 | (207) 992-3666 |
| Street Address |
320 E MAIN ST |
| City | CROSBY |
| State | MN |
| Zip Code | 56441-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332407 | Randall Ora Card | Family Medicine | 320 E Main St, Crosby, MN 56441-1645 | 2005-10-28 |
| 1538776356 | Jenna Wentzlaff | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
| 1811504640 | Shawn Smart | Pharmacist | 320 E Main St, Crosby, MN 56441-1645 | 2020-09-25 |
| 1578176798 | Emily A Hilgers | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-08-27 |
| 1053938381 | Katelyn Sarlette | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-07-02 |
| 1962029678 | Ashley L Yager | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-29 |
| 1669098307 | Ashley Laura Hanson | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-06-18 |
| 1104447481 | Jesse A Oman | Nurse Practitioner | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-28 |
| 1366062762 | Nathan Douglas Lehman | Physician Assistant | 320 E Main St, Crosby, MN 56441-1645 | 2020-04-26 |
| 1134769243 | Molly Jean Edmundson | Nurse Anesthetist, Certified Registered | 320 E Main St, Crosby, MN 56441-1645 | 2020-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851470462 | Between The Bridges Healing Center, LLC | Neuromusculoskeletal Medicine & OMM | 45 Teton Ln, Mankato, MN 56001-4814 | 2006-11-03 |
| 1760564108 | Scott R Corbett | Neuromusculoskeletal Medicine & OMM | 3601 Park Center Blvd Ste 308, Saint Louis Park, MN 55416-2525 | 2006-10-19 |
| 1740386176 | Jeffrey John Kotulski | Neuromusculoskeletal Medicine & OMM | 45 Teton Lane, Mankato, MN 56001 | 2006-09-15 |
| 1235166992 | Bryant Richard Beehler | Neuromusculoskeletal Medicine & OMM | 14133 Orchid St Nw, Andover, MN 55304-3283 | 2006-06-27 |
| 1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
| 1518445691 | University of Minnesota | Neuromusculoskeletal Medicine & OMM | 515 Delaware St. Se, Moos Tower, Room 13-129, Minneapolis, MN 55455 | 2018-08-01 |
| 1841555984 | Timothy Sheneman | Neuromusculoskeletal Medicine & OMM | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2012-07-04 |
| 1710253752 | Wangcai Gao | Neuromusculoskeletal Medicine & OMM | 225 Smith Ave N #500, St Paul, MN 55102 | 2012-03-23 |
| 1184767204 | Joan F Dawson | Neuromusculoskeletal Medicine & OMM | 7300 France Ave So, Suite 405, Edina, MN 55435-4544 | 2007-02-15 |
| 1477645083 | Lisa Ellen Putney | Neuromusculoskeletal Medicine & OMM | 403 America Ave Nw, Bemidji, MN 56601-3122 | 2006-09-29 |
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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.