RANDOLPH J REISTER (NPI# 1952385114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952385114 |
| Entity Type | Individual |
| Full Name | RANDOLPH J REISTER |
| Credential | MD |
| Practice Address |
710 Division St S Northfield MN 55057-2468 |
| Mailing Address |
1202 9th Ave W Mobridge SD 57601-1210 |
| Practice Telephone | 5076461494 |
| Mailing Telephone | 6058453582 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 102423 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5242 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6004640 | 05 |
| Street Address |
710 DIVISION ST S |
| City | NORTHFIELD |
| State | MN |
| Zip Code | 55057-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450978 | Raquel Rendon | Community Health Worker | 710 Division St S, Northfield, MN 55057-2484 | 2019-01-09 |
| 1518357102 | Lisa M. Legvold | Physician Assistant | 710 Division St S, Northfield, MN 55057-2484 | 2015-02-03 |
| 1982957536 | Emily Jean Carroll | Nurse Practitioner | 710 Division St S, Northfield, MN 55057-2484 | 2012-10-19 |
| 1609887686 | John Joshua Sand | Specialist/Technologist | 710 Division St S, Northfield, MN 55057-2468 | 2006-08-11 |
| 1881648749 | Donald L Lum | Emergency Medicine | 710 Division St S, Northfield, MN 55057-2468 | 2006-05-22 |
| 1104876010 | Thomas A Oas | Preventive Medicine | 710 Division St S, Northfield, MN 55057-2468 | 2006-05-11 |
| 1821054750 | Cole Dermatology | Dermatology | 710 Division St S, Northfield, MN 55057-2468 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750322 | Rebecca Brooks Amundson | Marriage & Family Therapist | 570 Professional Drive, Northfield, MN 55057 | 2019-06-25 |
| 1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
| 1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
| 1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
| 1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
| 1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
| 1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
| 1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
| Find all providers in zip 55057 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887166 | Alison Dubasak | Internal Medicine | 476 E Twinsburg Rd, Northfield, OH 44067-2852 | 2018-10-16 |
| 1902396526 | Zhenyu Tony Li | Internal Medicine | 7698 Brookhaven Ct, Northfield, OH 44067-4018 | 2018-05-18 |
| 1518280130 | John Marquardt | Internal Medicine | 29 Regent Wood Rd, Northfield, IL 60093-2728 | 2010-03-10 |
| 1003143801 | Alexander Feoktistov | Internal Medicine | 191 Waukegan Rd Ste 300, Northfield, IL 60093-2744 | 2009-11-16 |
| 1689848491 | Green Bay Medical Center LLC | Internal Medicine | 310 Happ Rd Ste 207, Northfield, IL 60093-3457 | 2008-04-14 |
| 1326229923 | Aslam M. Khan | Internal Medicine | 356 Churchill St, Northfield, IL 60093-3221 | 2007-11-25 |
| 1972798643 | Abraham Abtahi Abtahian | Internal Medicine | 1001 New Road, Northfield, NJ 08225 | 2007-09-06 |
| 1093861700 | George Sidney Groch | Internal Medicine | 1413 Shore Rd, Northfield, NJ 08225-2235 | 2007-01-26 |
| 1326137407 | Wedad S Michael | Internal Medicine | 1118 Tilton Rd, Northfield, NJ 08225-1230 | 2006-10-12 |
| 1326078114 | Marcantonio Nanfara | Internal Medicine | 1907 New Road, Northfield, NJ 08225 | 2006-07-04 |
| Find all providers in NORTHFIELD | ||||
| City | NORTHFIELD |
| Zip Code | 55057 |
Please comment or provide details below to improve the information on RANDOLPH J REISTER.
| 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.