Polly A Quiram (NPI# 1366471013, PAC ID# 0749221950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1366471013 |
| PAC ID by PECOS | 0749221950 |
| Professional Enrollment ID | I20070705000131 |
| Full Name | Polly A Quiram |
| Organization Legal Name | VITREO RETINAL SURGERY PA |
| Address |
1099 Helmo Ave N Suite 220 Oakdale MN 55128-6034 |
| Phone Number | 6513618100 |
| Gender | F |
| Credential | MD |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709899768 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240196 | PHILLIPS EYE INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 | 9529291131 | VITREO RETINAL SURGERY PA |
| 1099 Helmo Ave N, Suite 220, Oakdale, MN 55128-6034 | 6513618100 | VITREO RETINAL SURGERY PA |
| Organization Legal Name | VITREO RETINAL SURGERY PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hao Hao Tang | Ophthalmology | Vitreo Retinal Surgery Pa | 1099 Helmo Ave N, Suite 220, Oakdale, MN 55128-6034 |
| Peter J Belin | Ophthalmology | Vitreo Retinal Surgery Pa | 11091 Ulysses St Ne, Suite 200, Blaine, MN 55434-4238 |
| Sundeep Dev | Ophthalmology | Vitreo Retinal Surgery Pa | 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 |
| Herbert L Cantrill | Ophthalmology | Vitreo Retinal Surgery Pa | 4815 W Arrowhead Rd, Suite 210, Hermantown, MN 55811-4005 |
| Edwin H Ryan | Ophthalmology | Vitreo Retinal Surgery Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| David W Parke Iii | Ophthalmology | Vitreo Retinal Surgery Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Steven R Bennett | Ophthalmology | Vitreo Retinal Surgery Pa | 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 |
| Jill B Johnson | Ophthalmology | Vitreo Retinal Surgery Pa | 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 |
| David F Williams | Ophthalmology | Vitreo Retinal Surgery Pa | 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 |
| Robert A Mittra | Ophthalmology | Vitreo Retinal Surgery Pa | 7760 France Ave S, Suite 310, Minneapolis, MN 55435-3216 |
| Street Address |
1099 HELMO AVE N SUITE 220 |
| City | OAKDALE |
| State | MN |
| Zip | 55128-6034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hao Hao Tang | Ophthalmology | Vitreo Retinal Surgery Pa | 1099 Helmo Ave N, Suite 220, Oakdale, MN 55128-6034 |
| Maria Kathleen Horne | Nurse Practitioner | Healtheast Medical Research Institute | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6034 |
| Debra E Caspers | Family Medicine | Healtheast Medical Research Institute | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6034 |
| Chad T Bogren | Optometry | 1099 Helmo Ave N, Suite 150, Oakdale, MN 55128-6038 | |
| Justine Whitney Trumm | Family Medicine | Healtheast Medical Research Institute | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6034 |
| Shaina Marie Rubino Loverde | Ophthalmology | Vitreo Retinal Surgery Pa | 1099 Helmo Ave N, Suite 220, Oakdale, MN 55128-6034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Kelsey | Chiropractic | 5705 Hadley Ave N, Oakdale, MN 55128-1022 | |
| Nicole J Staloch | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 7180 10th St N, Oakdale, MN 55128-1122 |
| Natalie L Carstenbrock | Nurse Practitioner | Family Healthservices Minnesota, P.a. | 7180 10th St N, Oakdale, MN 55128-1122 |
| Daniel T Barrett | Chiropractic | 6070 N 50th St, Oakdale, MN 55128-1307 | |
| Maried E Celkis | Family Medicine | Allina Health System | 7400 33rd St N, Suite 100, Oakdale, MN 55128-3630 |
| Katie Marie Mahocker | Nurse Practitioner | Allina Health System | 7400 33rd St N, Suite 100, Oakdale, MN 55128-3630 |
| Kerry M Kennedy | Nurse Practitioner | Canvas Health Inc | 7066 Stillwater N Blvd, Oakdale, MN 55128-3937 |
| Stephanie Rae Forness | Psychologist, Clinical | Canvas Health Inc | 7066 Stillwater N Blvd, Oakdale, MN 55128-3937 |
| Jordan C Jones | Clinical Social Worker | Canvas Health Inc | 7066 Stillwater N Blvd, Oakdale, MN 55128-3937 |
| Tina M Dince | Clinical Social Worker | Canvas Health Inc | 7066 Stillwater N Blvd, Oakdale, MN 55128-3937 |
| Find all physicians in zip 55128 | |||
| City | OAKDALE |
| Zip Code | 55128 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OAKDALE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Polly A Quiram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.