Mathew J So
ALTRU HEALTH SYSTEM


Address: 166 4th St E, St Paul, MN 55101-1421
Phone: 6512922000

Mathew J So (NPI# 1215126503, PAC ID# 1254597487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1215126503
PAC ID by PECOS 1254597487
Professional Enrollment ID I20120716000497
Full Name Mathew J So
Organization Legal Name ALTRU HEALTH SYSTEM
Address 166 4th St E
St Paul
MN 55101-1421
Phone Number 6512922000
Gender M
Medical School MAYO MEDICAL SCHOOL
Graduation Year 2007
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1355251604
Number of Group Practice Members 481
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240038 ALLINA UNITED HOSPITAL
521349 RIVER FALLS AREA HOSPITAL
240057 ABBOTT NORTHWESTERN HOSPITAL
521347 WESTERN WISCONSIN HEALTH
350019 ALTRU HOSPITAL

Other Locations

Address Phone Organization
225 Scholl Ct, Amery, WI 54001-1292 7052688000 MIDWEST RADIOLOGY PA
12375 Lindstrom Ln, Lindstrom, MN 55045-9551 6514002240 ST. CROIX REGIONAL MEDICAL CENTER
2945 Hazelwood St, Suite 110, Maplewood, MN 55109-1157 6512922000 MAPLEWOOD IMAGING CENTER, LLC
2600 65th Ave, Osceola, WI 54020-4370 7152942111 MIDWEST RADIOLOGY PA
1617 E Division St, River Falls, WI 54022-1571 7153076600 ALLINA HEALTH SYSTEM
1629 E Division St, River Falls, WI 54022-1571 ALLINA HEALTH SYSTEM
1687 E Division St, River Falls, WI 54022-1571 6512416550 ALLINA HEALTH SYSTEM
250 Thompson St, Saint Paul, MN 55102-2370 6512922000 ST PAUL RADIOLOGY OUTPATIENT IMAGING LLC
250 Thompson St, Saint Paul, MN 55102-2370 6512976504 MIDWEST RADIOLOGY PA
235 E State St, St Croix Falls, WI 54024-4117 7154833221 ST. CROIX REGIONAL MEDICAL CENTER
166 4th St E, St Paul, MN 55101-1421 6512922000 ALTRU HEALTH SYSTEM
166 E 4th St, Suite 100, St Paul, MN 55101-1421 6512922000 PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
1155 County Rd E E, Suite 100, Vadnais Heights, MN 55110-5191 6512419200 ALLINA HEALTH SYSTEM

Organization Information

Organization Legal Name ALTRU HEALTH SYSTEM
Physicians 472

Physicians with the same organization

Name Specialty Organization Address
Chukwuka O Nnoli Physician Assistant Altru Health System 607 Demers Ave, East Grand Forks, MN 56721-1833
Amanjit S Baadh Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Jessica K Hartman Clinical Social Worker Altru Health System 860 S Columbia Rd, Grand Forks, ND 58201-4028
Bethany A Knox Physician Assistant Altru Health System 1845 Hwy 59 S, Suite 800, Thief River Falls, MN 56701-4318
Rachel M Pearce Nurse Practitioner Altru Health System 412 Main Ave Ne, Warroad, MN 56763-2342
Erica Lynn Wiegandt Optometry Altru Health System 4440 S Washington St, Grand Forks, ND 58201-7245
Laura A Carlson Nurse Practitioner Altru Health System 3165 Demers Ave, Grand Forks, ND 58201-4049
Emuejevoke Okoh Gastroenterology Altru Health System 1200 S Columbia Rd, Grand Forks, ND 58201-4036
Paul Fleissner Family Practice Altru Health System 1001 7th Nest, Devils Lake, ND 58301-2719
Joseph V Lazzara Pediatric Medicine Altru Health System 715 Delmore Dr, Roseau, MN 56751-1534

Office Location

Street Address 166 4TH ST E
City ST PAUL
State MN
Zip 55101-1421

Physicians in the same location

Name Specialty Organization Address
Amanjit S Baadh Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Jason J Carroll Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Mckinley C Lawson Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Don E Wiese Ii Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Paul R Carolan Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
David P Lambert Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Alexandra L Muschenheim Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Ryan T Whitesell Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Nicholas J Lange Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Jeffrey H Richards Psychiatry South Metro Human Services 166 4th St E, Suite 200, Saint Paul, MN 55101-1400
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Collin M Torok Diagnostic Radiology Altru Health System 166 4th St E, Saint Paul, MN 55101-1400
Patrice L Lauer-roberts Clinical Social Worker South Metro Human Services 166 4th St E, Suite 200, Saint Paul, MN 55101-1400
Christopher A Jackson Diagnostic Radiology Pembina County Memorial Hospital Association 166 E 4th St, Suite 100, St Paul, MN 55101-1421
Angela W Tai Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Steven C Hommeyer Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Kevin Q Nguyen Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Jeff D Werner Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Jonathan A Phelan Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Sameer Nevile Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Craig Paul Rodriguez Diagnostic Radiology Altru Health System 166 4th St E, St Paul, MN 55101-1421
Find all physicians in zip 55101

Competitor

Search similar physicians

City ST PAUL
Zip Code 55101
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty ST PAUL + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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