Patrick T Koller (NPI# 1205895075, PAC ID# 1951208529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1205895075 |
| PAC ID by PECOS | 1951208529 |
| Professional Enrollment ID | I20040224000129 |
| Full Name | Patrick T Koller |
| Organization Legal Name | HEALTHEAST ST JOSEPH'S HOSPITAL |
| Address |
45 W 10th St Saint Paul MN 55102-2222 |
| Phone Number | 6512323000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2365348869 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1575 Beam Ave, Maplewood, MN 55109-1169 | 6512327000 | HEALTHEAST ST. JOHN'S HOSPITAL |
| 1600 Saint Johns Blvd, Suite 200, Maplewood, MN 55109-1190 | 6513262328 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| 1700 University Ave W, Saint Paul, MN 55104-3727 | HEALTHEAST MEDICAL RESEARCH INSTITUTE | |
| 45 W 10th St, Saint Paul, MN 55102-2222 | 6512323000 | HEALTHEAST ST JOSEPH'S HOSPITAL |
| 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | 6512320100 | HEALTHEAST WOODWINDS HOSPITAL |
| Organization Legal Name | HEALTHEAST ST JOSEPH'S HOSPITAL |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Lee Benton | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Dennis William Halbe | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Leslie B Forgosh | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Justin Kyle Halbe | Interventional Cardiology | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Gregory A Granrud | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Stuart Welsh Adler Ii | Cardiac Electrophysiology | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Charles M Cliffe | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Michael David Garr | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Kim M Loria | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Christine L Lange | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Street Address |
45 W 10TH ST |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Lee Benton | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Dennis William Halbe | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Leslie B Forgosh | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Justin Kyle Halbe | Interventional Cardiology | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Gregory A Granrud | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Stuart Welsh Adler Ii | Cardiac Electrophysiology | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Charles M Cliffe | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Michael David Garr | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Kim M Loria | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Christine L Lange | Cardiovascular Disease (cardiology) | Healtheast St Joseph's Hospital | 45 W 10th St, Saint Paul, MN 55102-2222 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | SAINT PAUL + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Patrick T Koller.
| 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.