Joseph Thomas Mahon (NPI# 1295171072, PAC ID# 3779811690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1295171072 |
| PAC ID by PECOS | 3779811690 |
| Professional Enrollment ID | I20190829002918 |
| Full Name | Joseph Thomas Mahon |
| Organization Legal Name | MINNESOTA UROLOGY PA |
| Address |
7500 France Ave S Edina MN 55435-3400 |
| Phone Number | 9529276501 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2013 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 0840183984 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7500 France Ave S, Edina, MN 55435-3400 | 9529276501 | MINNESOTA UROLOGY PA |
| 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2665 | 7632703400 | MINNESOTA UROLOGY PA |
| Organization Legal Name | MINNESOTA UROLOGY PA |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maisy M Sanneman | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Randolph K Peterson | Pathology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Maxine Rae Gustafson | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Maria Teresa Chmielewski | Certified Clinical Nurse Specialist (cns) | Minnesota Urology Pa | 2945 Hazelwood St, Suite 220, Maplewood, MN 55109-1241 |
| Peter D Sershon | Urology | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| William J Utz | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Hoo Yin Wong | Urology | Minnesota Urology Pa | 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432-2767 |
| Todd Daniel Fleming | Urology | Minnesota Urology Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Tyler John Back | Physician Assistant | Minnesota Urology Pa | 360 Sherman St, Suite 450, Saint Paul, MN 55102-2562 |
| Paul T Fadden | Urology | Minnesota Urology Pa | 6525 France Ave S, Suite 208, Edina, MN 55435-2148 |
| Street Address |
7500 FRANCE AVE S |
| City | EDINA |
| State | MN |
| Zip | 55435-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan F Hunt | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Laura Loeding Bechtold | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Bonnie L Glenzinski | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Kimberly Lynn Mcclintick | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Susan E Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Julie A Stauffer | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Meredith N Butulis | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Breanna N Smith | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| David Gesensway | Hand Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Christopher M Larson | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Find all physicians in zip 55435 | |||
| City | EDINA |
| Zip Code | 55435 |
| Specialty | UROLOGY |
| City + Specialty | EDINA + UROLOGY |
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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.