Douglas F Mcmahon (NPI# 1356533293, PAC ID# 4789836917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1356533293 |
| PAC ID by PECOS | 4789836917 |
| Professional Enrollment ID | I20121214000086 |
| Full Name | Douglas F Mcmahon |
| Organization Legal Name | ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC |
| Address |
2480 White Bear Ave N Suite 104 Maplewood MN 55109-4568 |
| Phone Number | 6124443247 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1456575695 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 2480 White Bear Ave N, Suite 104, Maplewood, MN 55109-4568 | 6124443247 | ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC |
| 909 Fulton St Se, Minneapolis, MN 55455-4800 | 6126727422 | UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC |
| Organization Legal Name | ALLERGY AND ASTHMA CENTER OF MINNESOTA PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashleigh E Misson | Physician Assistant | Allergy and Asthma Center of Minnesota Pllc | 2480 White Bear Ave N, Suite 104, Maplewood, MN 55109-4568 |
| Alexa J Stilp | Physician Assistant | Allergy and Asthma Center of Minnesota Pllc | 2480 White Bear Ave N, Suite 104, Maplewood, MN 55109-4568 |
| Street Address |
2480 WHITE BEAR AVE N SUITE 104 |
| City | MAPLEWOOD |
| State | MN |
| Zip | 55109-4568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashleigh E Misson | Physician Assistant | Allergy and Asthma Center of Minnesota Pllc | 2480 White Bear Ave N, Suite 104, Maplewood, MN 55109-4568 |
| Alexa J Stilp | Physician Assistant | Allergy and Asthma Center of Minnesota Pllc | 2480 White Bear Ave N, Suite 104, Maplewood, MN 55109-4568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blackburn | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| James P Davig | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| Jane C Dever | Psychiatry | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| David H Hess | Optometry | 1431 Beam Ave, Maplewood, MN 55109-1064 | |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Lori A Fisher | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Rahul Koranne | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mark K Thalacker | Nurse Practitioner | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Ryan H Ban | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in zip 55109 | |||
| City | MAPLEWOOD |
| Zip Code | 55109 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | MAPLEWOOD + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Douglas F Mcmahon.
| 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.