PATRICK MICHAEL LALLEY (NPI# 1942276902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942276902 |
| Entity Type | Individual |
| Full Name | PATRICK MICHAEL LALLEY |
| Credential | MD |
| Practice Address |
1200 6th Avenue North Centracare Clinic River Campus Palliative Care St Cloud MN 56303-2735 |
| Practice Telephone | 3206567117 |
| Practice Fax Number | 3202555810 |
| Mailing Telephone | 3206567117 |
| Mailing Fax Number | 3202555810 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 23382 | MN | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
23382 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 054795600 | 05 |
| Street Address |
1200 6TH AVENUE NORTH CENTRACARE CLINIC RIVER CAMPUS PALLIATIVE CARE |
| City | ST CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285610774 | Thomas Frederick Campbell | Obstetrics & Gynecology | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2005-12-16 |
| 1992184097 | Elizabeth A Zasoski | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic, St Cloud, MN 56303-2735 | 2015-05-21 |
| 1194104299 | Susan Beth Heysse | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic River Campus Nephrology, St Cloud, MN 56303-2735 | 2015-05-21 |
| 1255627790 | Benjamin Keith Johnson | Internal Medicine | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2011-06-23 |
| 1528216868 | Ioannis Karampelas | Neurological Surgery | 1200 6th Avenue North, Centracare Clinic River Campus Neurosurgery, St Cloud, MN 56303-2735 | 2008-08-28 |
| 1649451873 | Anil Kumar Changarath Vijayan | Internal Medicine | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2007-11-15 |
| 1235207481 | Jessica Lynne George | Dietitian, Registered | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2006-12-04 |
| 1295779809 | Daniel Brent Leslie | Surgery | 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735 | 2006-06-15 |
| 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 | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841403912 | Robert Bruley | Family Medicine | 2826 W 43rd St, Minneapolis, MN 55410-1536 | 2007-05-07 |
| 1801214499 | Andrew Garcia | Family Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104 | 2014-04-01 |
| 1326384520 | Amanda Meegan | Family Medicine | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2012-12-17 |
| 1003184235 | Kristopher Hartwig | Family Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2011-12-02 |
| 1164681995 | Jason A Kallestad | Family Medicine | 420 Delaware St Se, Mmc 381, Dept of Family Medicine, Minneapolis, MN 55455-0341 | 2008-06-06 |
| 1649475807 | Barry Keith Baines | Family Medicine | 500 Stinson Blvd, Minneapolis, MN 55413-2615 | 2007-06-18 |
| 1710074232 | Michael E Pinchback | Family Medicine | 2076 Saint Anthony Ave, Saint Paul, MN 55104-4543 | 2006-10-06 |
| 1891723359 | William Christpher Downey | Family Medicine | 2925 Chicago Ave, Provider Enrollment, Minneapolis, MN 55407-1321 | 2006-06-30 |
| 1679545842 | Koken Ozdogan | Family Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2006-02-02 |
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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.