Wanda J Ethen (NPI# 1154365393, PAC ID# 1658336177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154365393 |
| PAC ID by PECOS | 1658336177 |
| Professional Enrollment ID | I20130313000528 |
| Full Name | Wanda J Ethen |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Address |
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522 |
| Phone Number | 6124272200 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 1759293954 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240115 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 6124272200 | GROUP HEALTH PLAN INC |
| 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 6123711600 | GROUP HEALTH PLAN INC |
| 2220 Riverside Ave S, Minneapolis, MN 55454-1321 | 6123711605 | GROUP HEALTH PLAN INC |
| Organization Legal Name | GROUP HEALTH PLAN INC |
| Physicians | 1492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bisrat Fekadu | Family Medicine | Group Health Plan Inc | 8450 Seasons Pkwy, Woodbury, MN 55125-4402 |
| Rachel Elizabeth Kneeland | Internal Medicine | Group Health Plan Inc | 700 Rivard St, Somerset, WI 54025-7382 |
| Laura Anne Chilson | Nurse Practitioner | Group Health Plan Inc | 1430 Hwy 96 E, White Bear Lake, MN 55110-3653 |
| Brian S Myer | General Surgery | Group Health Plan Inc | 640 Jackson St, Saint Paul, MN 55101-2502 |
| Luke Tae Jong Moore | Ophthalmology | Group Health Plan Inc | 3930 Northwood Dr, Arden Hills, MN 55112-6963 |
| Erin J Schmidt | Family Medicine | Group Health Plan Inc | 700 Wildwood Rd, Mahtomedi, MN 55115-1852 |
| Chad Michael Myeroff | Orthopedic Surgery | Group Health Plan Inc | 435 Phalen Blvd, Saint Paul, MN 55130-5302 |
| Cheryl Settimi | Nurse Practitioner | Group Health Plan Inc | 601 Jacob Ln, Anoka, MN 55303-1621 |
| Jennifer A Novak | Nurse Practitioner | Group Health Plan Inc | 2165 White Bear Ave, Maplewood, MN 55109-2707 |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Street Address |
4050 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip | 55433-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie A Ferguson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Joyce S Stewart | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Amber Galarowicz | Internal Medicine | Allina Health System | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Michael A Erickson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Cassandra A Kumpel | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Michael S Kennedy | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Dillon Dryja | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Jeremy W Pangerl | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Shannon Marie Sicard | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| John A Cambest | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle D Traynor | Chiropractic | Waypoint Minnesota PC | 3183 Northdale Blvd Nw, Suite 103, Coon Rapids, MN 55433-1756 |
| Craig A Schadow | Chiropractic | 3818 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2517 | |
| Stephanie Rae Walvatne | Nurse Practitioner | 3887 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2518 | |
| George A Haikel | Urology | 3879 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | |
| Mark D Mcmillan | Diagnostic Radiology | Suburban Radiologic Consultants Ltd | 4050 Coon Rapids Nwblvd, Coon Rapids, MN 55433-2522 |
| John A Kosiak | Radiation Oncology | Minneapolis Radiation Oncology Pa | 4030 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Laura S Mayer | Obstetrics/gynecology | Group Health Plan Inc | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Pang Z Thao | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Beth E Johnson | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Carter M Peatross | Anesthesiology | Metropolitan Anesthesia Network LLP | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 |
| Find all physicians in zip 55433 | |||
| City | COON RAPIDS |
| Zip Code | 55433 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COON RAPIDS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wanda J Ethen.
| 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.