LAKE CITY FAMILY PHYSICIANS PC (NPI# 1730485582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730485582 |
| Entity Type | Organization |
| Organization Name | LAKE CITY FAMILY PHYSICIANS PC |
| Practice Address |
2854 Highway 55 Suite 130 Eagan MN 55121-2156 |
| Mailing Address |
507 W Doughty St Lake City MN 55041-1500 |
| Practice Telephone | 6518423328 |
| Practice Fax Number | 6518423391 |
| Mailing Telephone | 6518423328 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | DOUGLAS DAVID PFLAUM (PRESIDENT) |
| Authorized Official Telephone | 6518423328 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2854 HIGHWAY 55 SUITE 130 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446781 | Capitol Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | 2854 Highway 55, Suite 130, Eagan, MN 55121-1405 | 2006-06-15 |
| 1306149539 | Kathryn Susan Eisenmenger Fuentes | Physician Assistant | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2010-12-09 |
| 1841590767 | One T Counseling, Consultation, Training, Publishing & Productions | Counselor | 2854 Highway 55, Suite 130, Eagan, MN 55121-1776 | 2010-10-26 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1023274479 | Lyle J. Swenson, M.d, P.a | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-05 |
| 1619138849 | Alec David Otteman | Internal Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2008-06-20 |
| 1316130560 | Hodges Surgical Clinic, P.a. | Clinic/Center | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2007-08-21 |
| 1659396000 | David J Ridley | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-13 |
| 1154354751 | Joan M Beard | Nurse Practitioner | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| 1053344788 | St Paul Rheumatology P A | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1811231038 | Steven S Eisenberg | Family Medicine | 3610 Sunwood Trl, Eagan, MN 55123-2417 | 2012-11-15 |
| 1649587403 | John Granville Ward | Family Medicine | 1634 Murphy Pkwy, Home Address No Business Address, Eagan, MN 55122-1753 | 2010-08-31 |
| 1528252764 | Lucas Joel Hammell | Family Medicine | 1654 Diffley Rd Ste 100, Eagan, MN 55122-2237 | 2007-08-30 |
| 1063489540 | Charles E Pogemiller Sr. | Family Medicine | 1215 Town Centre Dr, Eagan, MN 55123-1033 | 2006-03-03 |
| 1972575470 | David J Caccamo | Family Medicine | 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121-1675 | 2006-02-07 |
| 1700858974 | Raina L Young | Family Medicine | 1654 Diffley Rd, Eagan, MN 55122-2237 | 2006-02-02 |
| 1376515536 | Michelle L Knight | Family Medicine | 1654 Diffley Rd Suite 100 - Mail Stop 34701a, Healthpartners Eagan Clinic, Eagan, MN 55122-2237 | 2006-02-02 |
| 1255310298 | Tara L Broadwater | Family Medicine | 3647 Windtree Ct, Eagan, MN 55123-1314 | 2006-01-10 |
| 1992780712 | Leslie Glen Massoglia | Family Medicine | 4845 Safari Ct N, Eagan, MN 55122-2617 | 2005-12-14 |
| 1265416572 | Suzanne F Permuth | Family Medicine | 1885 Plaza Dr, Park Nicollet Clinic Eagan, Eagan, MN 55122-2612 | 2005-11-30 |
| Find all providers in EAGAN | ||||
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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.