Amy L Boles (NPI# 1760473722, PAC ID# 1355371170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760473722 |
| PAC ID by PECOS | 1355371170 |
| Professional Enrollment ID | I20060706000159 |
| Full Name | Amy L Boles |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Address |
170 Good Counsel Dr Mankato MN 56001-3138 |
| Phone Number | 5073894200 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597677955 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241334 | RIVER'S EDGE HOSPITAL & CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 221 Murphy St S, Lake Crystal, MN 56055-2128 | 5077262136 | MANKATO CLINIC, LTD. |
| 1230 Main St E, Mankato, MN 56002-8674 | 5076251811 | MANKATO CLINIC, LTD. |
| 1431 Premier Dr, Mankato, MN 56001-6076 | 5073866750 | MANKATO CLINIC, LTD. |
| 1431 Premier Dr, Mri Dept, Mankato, MN 56001-6076 | 5073866750 | MANKATO CLINIC, LTD. |
| 170 Good Counsel Dr, Mankato, MN 56001-3138 | 5073894200 | MANKATO CLINIC, LTD. |
| 2135 Lor Ray Dr, North Mankato, MN 56003-1246 | 5073440059 | MANKATO CLINIC, LTD. |
| 1901 N Minnesota Ave, Saint Peter, MN 56082-1763 | 5079342325 | MANKATO CLINIC, LTD. |
| Organization Legal Name | MANKATO CLINIC, LTD. |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy W Huisken | General Surgery | Mankato Clinic, Ltd. | 1230 E Main St, Mankato, MN 56001-8674 |
| Nicole M Fischbach | Nurse Practitioner | Mankato Clinic, Ltd. | 1421 Premier Dr, Mankato, MN 56002-8684 |
| Leah R Breit | Family Medicine | Mankato Clinic, Ltd. | 630 Reed St, Mankato, MN 56001-4306 |
| Karl P Roos | Nephrology | Mankato Clinic, Ltd. | 1360 Adams St, Mankato, MN 56001-4298 |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Gary S Goldberg | Urology | Mankato Clinic, Ltd. | 1809 Adams St, Mankato, MN 56001-4841 |
| Jeffrey T Weideman | Physician Assistant | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| Alyssa L Stitt | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Hiromi Maruyama | Family Medicine | Mankato Clinic, Ltd. | 1230 Main St E, Mankato, MN 56002-8674 |
| James A Miller | Family Medicine | Mankato Clinic, Ltd. | 1431 Premier Dr, Mankato, MN 56001-6076 |
| Street Address |
170 GOOD COUNSEL DR |
| City | MANKATO |
| State | MN |
| Zip | 56001-3138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Thomas J Brennan | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Katherine A Anderson | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Malati V Pamulapati | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Karie M Soost | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Caroline T Baerg | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Vicki L Rose | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Jennifer M Hanson | Nurse Practitioner | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica J Schugel | Chiropractic | 816 A S Front St, Mankato, MN 56001-2401 | |
| Paula E Prybylla | Chiropractic | 800 S Front St, Mankato, MN 56001-2401 | |
| Debbie L Carstens | Certified Clinical Nurse Specialist (cns) | 1008 S Front St, Mankato, MN 56001-2405 | |
| Darren J Tungsvik | Clinical Social Worker | Wisconsin Lutheran Child and Family Service Inc | 421 E Hickory St, Suite 402, Mankato, MN 56001-2637 |
| Bryce D Anderson | Chiropractic | 500 S Broad St, Suite 102, Mankato, MN 56001-2692 | |
| Cuong T Huynh | Chiropractic | 1609 N Riverfront Dr, Suite 100, Mankato, MN 56001-3258 | |
| Keith A Kuch | Chiropractic | 1704 N Riverfront Dr, Suite 101, Mankato, MN 56001-3284 | |
| Matthew Downs | Optometry | Carlson Tillisch Eye Clinic Ltd | 120 N Broad St, Mankato, MN 56001-3518 |
| Murphy M Grotewold | Optometry | Carlson Tillisch Eye Clinic Ltd | 120 N Broad St, Mankato, MN 56001-3518 |
| George John Lach Jr. | Optometry | Carlson Tillisch Eye Clinic Ltd | 120 N Broad St, Mankato, MN 56001-3518 |
| Find all physicians in zip 56001 | |||
| City | MANKATO |
| Zip Code | 56001 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANKATO + FAMILY MEDICINE |
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| 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.