Charles J Breen (NPI# 1114944113, PAC ID# 2668402660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1114944113 |
PAC ID by PECOS | 2668402660 |
Professional Enrollment ID | I20050819000059 |
Full Name | Charles J Breen |
Organization Legal Name | SANFORD HEALTH NETWORK NORTH |
Address |
315 E Caledonia Ave Hillsboro ND 58045-4701 |
Phone Number | 7016365311 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 1990 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8022206663 |
Number of Group Practice Members | 79 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
351329 | SANFORD HILLSBORO |
350011 | SANFORD MEDICAL CENTER FARGO |
Address | Phone | Organization |
---|---|---|
445 1st St E, Halstad, MN 56548-4142 | 2184562158 | SANFORD HEALTH NETWORK NORTH |
315 E Caledonia Ave, Hillsboro, ND 58045-4701 | 7016365311 | SANFORD HEALTH NETWORK NORTH |
410 4th St Nw, Mahnomen, MN 56557-4208 | 2189352514 | SANFORD CLINIC NORTH |
4000 28th S Ave, Moorhead, MN 56560-7926 | 2182337578 | SANFORD CLINIC NORTH |
Organization Legal Name | SANFORD HEALTH NETWORK NORTH |
Physicians | 61 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samantha J Hulst | Nurse Practitioner | Sanford Health Network North | 1720 Hwy 59 S, Thief River Falls, MN 56701-4331 |
Lindsay Allyn Yates Plumer | Psychologist, Clinical | Sanford Health Network North | 120 Labree Ave S, Thief River Falls, MN 56701-2819 |
Travis J Waswick | Family Medicine | Sanford Health Network North | 42 6th Ave Se, Mayville, ND 58257-1506 |
Jane D Ostlie | Family Medicine | Sanford Health Network North | 600 1st St Sw, Mayville, ND 58257-1518 |
Kristine A Elliott | Chiropractic | Sanford Health Network North | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 |
Ann M Owens | Physician Assistant | Sanford Health Network North | 445 1st St E, Halstad, MN 56548-4142 |
Kathi Jo Kremer | Nurse Practitioner | Sanford Health Network North | 401 12th St N, Wheaton, MN 56296-1070 |
Scott W Petrescue | Family Medicine | Sanford Health Network North | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 |
Elizabeth L Jahn | Nurse Practitioner | Sanford Health Network North | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 |
Jawad H Khan | Internal Medicine | Sanford Health Network North | 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 |
Street Address |
315 E CALEDONIA AVE |
City | HILLSBORO |
State | ND |
Zip | 58045-4701 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas J Leeseberg | Chiropractic | 102 1st St Sw, Hillsboro, ND 58045-4412 | |
Aimee Smith | Chiropractic | Smith Chiropractic, Inc. | 322 4th Ave Se, Dba Hillsboro Chiro, Hillsboro, ND 58045-4905 |
City | HILLSBORO |
Zip Code | 58045 |
Specialty | FAMILY MEDICINE |
City + Specialty | HILLSBORO + 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.