Theodore O Truitt (NPI# 1740240258, PAC ID# 1355322991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1740240258 |
| PAC ID by PECOS | 1355322991 |
| Professional Enrollment ID | I20100521000147 |
| Full Name | Theodore O Truitt |
| Organization Legal Name | ST CLOUD EAR NOSE AND THROAT CLINIC PA |
| Address |
1528 Northway Dr Saint Cloud MN 56303-1255 |
| Phone Number | 3202520233 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5496774242 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 240030 | DOUGLAS COUNTY HOSPITAL |
| 241329 | LAKEWOOD HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1528 Northway Dr, Saint Cloud, MN 56303-1255 | 3202520233 | ST CLOUD EAR NOSE AND THROAT CLINIC PA |
| 425 Elm N St, Sauk Centre, MN 56378-1010 | 3203522221 | ST CLOUD EAR NOSE AND THROAT CLINIC PA |
| 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2188946159 | ST CLOUD EAR NOSE AND THROAT CLINIC PA |
| Organization Legal Name | ST CLOUD EAR NOSE AND THROAT CLINIC PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen H Dauer | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Stephen P Cragle | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Amy Corinne Dearking | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Brooke M Steckelberg | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Jessica L Landucci | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Alexandra R Borders | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Todd Douglas Magnuson | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Stacey L Johnson | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Sveinar Y Larsen | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| John C Littlefield | Qualified Speech Language Pathologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Street Address |
1528 NORTHWAY DR |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-1255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen H Dauer | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Stephen P Cragle | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Amy Corinne Dearking | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Brooke M Steckelberg | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Jessica L Landucci | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Alexandra R Borders | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Todd Douglas Magnuson | Otolaryngology | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Stacey L Johnson | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Sveinar Y Larsen | Qualified Audiologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| John C Littlefield | Qualified Speech Language Pathologist | St Cloud Ear Nose and Throat Clinic Pa | 1528 Northway Dr, Saint Cloud, MN 56303-1255 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAINT CLOUD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Theodore O Truitt.
| 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.