Margaret Kennealy (NPI# 1376999482, PAC ID# 1759678683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1376999482 |
PAC ID by PECOS | 1759678683 |
Professional Enrollment ID | I20160921000695 |
Full Name | Margaret Kennealy |
Organization Legal Name | LAKEVIEW CLINIC, LTD. |
Address |
406 Faxon Rd Norwood MN 55368-9507 |
Phone Number | 9524672888 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 6002801453 |
Number of Group Practice Members | 46 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240056 | RIDGEVIEW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
406 Faxon Rd, Norwood, MN 55368-9507 | 9524672888 | LAKEVIEW CLINIC, LTD. |
424 W State Hwy 5, Waconia, MN 55387-1723 | 9524424461 | LAKEVIEW CLINIC, LTD. |
313 Territorial St E, Watertown, MN 55388-9284 | 9524424461 | LAKEVIEW CLINIC, LTD. |
Organization Legal Name | LAKEVIEW CLINIC, LTD. |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy J Meath | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
John E Beithon | Family Practice | Lakeview Clinic, Ltd. | 309 Jefferson Ave Sw, Watertown, MN 55388-9266 |
Timothy M Thormodsgard | General Surgery | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Paul E Brown | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Timothy M Grangaard | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Tara L Mcmichael | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Erin L Chinnock | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Michelle L Flaskerud | Nurse Practitioner | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Abigail K Elliott | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Victoria K Zbikowski | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
Street Address |
406 FAXON RD |
City | NORWOOD |
State | MN |
Zip | 55368-9507 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey A Indrelie | Family Medicine | Lakeview Clinic, Ltd. | 406 Faxon Rd, Norwood, MN 55368-9507 |
Benjamin M Scherschligt | Family Medicine | Lakeview Clinic, Ltd. | 406 Faxon Rd, Norwood, MN 55368-9507 |
Janet M Bergeron | Family Medicine | Lakeview Clinic, Ltd. | 406 Faxon Rd, Norwood, MN 55368-9507 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leland L Brincefield | Chiropractic | Sacred Health Family Chiropractic | 306 Hwy 212 W, Norwood Young America, MN 55368-9775 |
Amy J Freed | Optometry | Southwest Eye Care Inc | 304 W Hwy 212, Norwood Young America, MN 55368-9775 |
Logan L Brincefield | Chiropractic | Sacred Health Family Chiropractic | 306 Hwy 212 W, Norwood Young America, MN 55368-9775 |
Julie A Schmidt | Chiropractic | Schmidt Chiropractic Center P. A. | 320 Hill St E, Norwood, MN 55368-9802 |
Nicholas R Heckmann | Chiropractic | Schmidt Chiropractic Center P. A. | 320 Hill St E, Norwood, MN 55368-9802 |
City | NORWOOD |
Zip Code | 55368 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | NORWOOD + PHYSICIAN ASSISTANT |
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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.