JAMIE M KALAFATICH (NPI# 1972764165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972764165 |
| Entity Type | Individual |
| Full Name | JAMIE M KALAFATICH |
| Other Name | JAMIE R MATHERLY |
| Credential | DO |
| Practice Address |
1155 County Road E E Suite 100 Vadnais Heights MN 55110-5183 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6512419200 |
| Mailing Telephone | 6512419200 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 56344 | MN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0116018762 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1155 COUNTY ROAD E E SUITE 100 |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 55110-5183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760679682 | Victor Synway Liew | Surgery | 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110-5183 | 2007-09-25 |
| 1790166874 | Benjamin Ceder | Physical Therapist | 1155 County Road E E, Vadnais Heights, MN 55110-5183 | 2015-06-15 |
| 1487081147 | Mary Auster Shanesy | Psychologist | 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110-5183 | 2013-09-26 |
| 1588090534 | John Bertucci | Physical Therapist | 1155 County Road E E, Vadnais Heights, MN 55110-5183 | 2013-09-23 |
| 1518220763 | Solmaz Shayan-kim | Internal Medicine | 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110-5183 | 2012-06-22 |
| 1861798654 | Allina Health System | Clinic/Center | 1155 County Road E E, Suite 100, Vadnais Heights, MN 55110-5183 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1972573566 | Kirk Leslie Scofield | Family Medicine | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2006-01-25 |
| 1437134541 | Dina M Andreotti | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2005-12-12 |
| 1659802510 | Haley Stewart | Family Medicine | 480 Highway 96 E, Vadnais Heights, MN 55127-2557 | 2017-03-22 |
| 1942697131 | Thomas Haroldson | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2015-04-25 |
| 1366730509 | Maya Highness | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2011-07-20 |
| 1588808638 | Peter Kirk Dahlstrom | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2009-04-20 |
| 1518182427 | Jessica Mary Flynn | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2007-04-16 |
| 1255443966 | Debra Anne Parrish | Family Medicine | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 | 2006-08-31 |
| 1770599458 | Theresa M Wollan | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2006-08-01 |
| 1740294016 | Keith A Oelschlager | Family Medicine | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2006-07-29 |
| Find all providers in VADNAIS HEIGHTS | ||||
| City | VADNAIS HEIGHTS |
| Zip Code | 55110 |
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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.