WOODLAND UROLOGY, PA (NPI# 1760497556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760497556 |
| Entity Type | Organization |
| Organization Name | WOODLAND UROLOGY, PA |
| Practice Address |
901 9th St N Suite 315 Virginia MN 55792-2325 |
| Mailing Address |
3920 13th Ave E Suite 6 Hibbing MN 55746-3675 |
| Practice Telephone | 2187428640 |
| Mailing Telephone | 2182637540 |
| Mailing Fax Number | 8667320699 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | DR. SAMUEL KRIEGLER (OWNER) |
| Authorized Official Telephone | 2187428640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 163D1WO | 01 |
| Street Address |
901 9TH ST N SUITE 315 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
| 1174184717 | Zachary B Horoshak | Physician Assistant | 901 9th St N, Virginia, MN 55792-2325 | 2019-06-25 |
| 1629543368 | Rachel Anne Eisenhuth | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2018-10-09 |
| 1194214858 | Haley Therese Mckee | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2018-05-08 |
| 1518478346 | Melissa M. Devries | Nurse Practitioner | 901 9th St N, Virginia, MN 55792-2325 | 2017-10-19 |
| 1417474461 | Katy Decker | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2017-08-29 |
| 1548613144 | Molly Ongaro | Dietitian, Registered | 901 9th St N, Virginia, MN 55792-2325 | 2016-07-19 |
| 1508244864 | Tally Puffer | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2015-05-07 |
| 1679968010 | David Martin Fedor | Surgery | 901 9th St N, Virginia, MN 55792-2325 | 2015-04-02 |
| 1114315652 | Sara Luoma | Nurse Practitioner | 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792-2325 | 2015-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
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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.