JENNA R WHEELER ANDERSON (NPI# 1851557094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851557094 |
Entity Type | Individual |
Full Name | JENNA R WHEELER ANDERSON |
Credential | MD |
Practice Address |
1000 1st Dr Nw Austin MN 55912-2941 |
Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
Practice Telephone | 5074337351 |
Mailing Telephone | 5072842511 |
Enumeration Date | 2008-08-06 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 52121 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | ENROLLED | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
Street Address |
1000 1ST DR NW |
City | AUSTIN |
State | MN |
Zip Code | 55912-2941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316941834 | Diana L Nelson | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-06-13 |
1811500341 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-08-25 |
1992325674 | Samantha Jo Barrie | Occupational Therapist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-04-22 |
1134752009 | Aejin Kwak | Pharmacist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-02-19 |
1518513639 | Sarah Lynne Gerard | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-08-14 |
1134684566 | Emily Majerus | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-11 |
1154886992 | Jennifer Ann Juers | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-06 |
1528530821 | Anna Altman | Registered Nurse | 1000 1st Dr Nw, Austin, MN 55912 | 2018-12-26 |
1861962045 | Jennifer Rivers | Family Medicine | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-29 |
1972072700 | Kevin Todd Bartenberger | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
1245858166 | Patricia Bailey Nicol | Pediatrics | 6101 E Oltorf St # Tx78741, Austin, TX 78741-7500 | 2020-07-07 |
1962061986 | Tch Pediatrics Inc | Pediatrics | 2911 Medical Arts St Ste 7, Austin, TX 78705-3302 | 2019-06-12 |
1316502875 | Tch Pediatric Associates, Inc | Pediatrics | 1111 W 34th St Ste 102, Austin, TX 78705-1916 | 2019-05-09 |
1871158816 | Sara Marie Dryden | Pediatrics | 4900 Mueller Blvd Ste 35.066c, Austin, TX 78723-3079 | 2019-05-06 |
1285190066 | Raegan Oneill | Pediatrics | 1621 E 6th St Apt 1230, Austin, TX 78702-3350 | 2019-02-16 |
1376023267 | Tch Pediatric Associates, Inc | Pediatrics | 2911 Medical Arts St Ste 20, Austin, TX 78705-3302 | 2018-08-20 |
1174012272 | Amanda Vela | Pediatrics | 4900 Mueller Blvd Ste 3s.066, Austin, TX 78723-3079 | 2018-05-03 |
1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
1083120257 | Rachel Aujla Quirt | Pediatrics | 1301 Barbara Jordan Blvd Ste 200b, Austin, TX 78723-3078 | 2017-12-23 |
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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.