Beth A Staab (NPI# 1295911238, PAC ID# 4880865773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1295911238 |
| PAC ID by PECOS | 4880865773 |
| Professional Enrollment ID | I20110926000859 |
| Full Name | Beth A Staab |
| Organization Legal Name | NORAN NEUROLOGICAL CLINIC, PA |
| Address |
11091 Ulysses St Ne Suite 100 Blaine MN 55434-4236 |
| Phone Number | 6128791000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3971497389 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11091 Ulysses St Ne, Suite 100, Blaine, MN 55434-4236 | 6128791000 | NORAN NEUROLOGICAL CLINIC, PA |
| 2215 Park Ave, Minneapolis, MN 55404-3711 | 6127758927 | ALLINA HEALTH SYSTEM |
| 800 E 28th St, Minneapolis, MN 55407-3723 | ALLINA HEALTH SYSTEM | |
| 2855 Campus Dr, Suite 570, Plymouth, MN 55441-2688 | 6128791000 | NORAN NEUROLOGICAL CLINIC, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 79% | |
| QCDR_EC_AAN4_overall | Screening for Psychiatric or Behavioral Health Disorders | 90% |
| Organization Legal Name | NORAN NEUROLOGICAL CLINIC, PA |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam J Todd | Neurology | Noran Neurological Clinic, Pa | 8515 Eagle Point Blvd, Suite 100, Lake Elmo, MN 55042-8624 |
| Angala Borders-robinson | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Ann M Rechtzigel | Nurse Practitioner | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Gerald H Dove | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Charles B Donovan | Diagnostic Radiology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Syed M Shahkhan | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Eleanor K Orehek | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| John A Damergis Jr. | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Mary Jane Chiasson | Neurology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| David Anthony Durand | Diagnostic Radiology | Noran Neurological Clinic, Pa | 2828 Chicago Ave S, Suite 200, Minneapolis, MN 55407-1320 |
| Street Address |
11091 ULYSSES ST NE SUITE 100 |
| City | BLAINE |
| State | MN |
| Zip | 55434-4236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter J Belin | Ophthalmology | Vitreo Retinal Surgery Pa | 11091 Ulysses St Ne, Suite 200, Blaine, MN 55434-4238 |
| Shelly L Larson-peters | Neurology | Noran Neurological Clinic, Pa | 11091 Ulysses St Ne, Suite 100, Blaine, MN 55434-4236 |
| Chad D Evans | Neurology | Noran Neurological Clinic, Pa | 11091 Ulysses St Ne, Suite 100, Blaine, MN 55434-4236 |
| Rasmita Shrestha | Nurse Practitioner | Noran Neurological Clinic, Pa | 11091 Ulysses St Ne, Suite 100, Blaine, MN 55434-4236 |
| Alexander Lyle Ringeisen | Ophthalmology | Vitreo Retinal Surgery Pa | 11091 Ulysses St Ne, Suite 200, Blaine, MN 55434-4238 |
| Christine A Ebbers-furmanek | Neurology | Noran Neurological Clinic, Pa | 11091 Ulysses St Ne, Suite 100, Blaine, MN 55434-4236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Lynn Wiedemann | Optometry | Ocularra Holding Inc | 570 Northtown Mall, Blaine, MN 55434 |
| Chad M Krietlow | Optometry | Complete Eyecare P L C | 260 Northtown Dr Ne, Blaine, MN 55434-1037 |
| Robert M Chous | Optometry | Visionworks Inc | 212 Northtown Dr, Suite H7a, Blaine, MN 55434-1039 |
| Lance Kevin Maki | Chiropractic | 607 County Rd 10 Ne, Suite 104, Blaine, MN 55434-3287 | |
| Angela M Laughlin | Nurse Practitioner | Arthritis Clinic and Medical Associates P.c | 11937 Central Ave Ne, Blaine, MN 55434-3911 |
| Thomas C Rice | Chiropractic | Blaine Chiropracitc Center Pa | 11919 Central Ave Ne, Blaine, MN 55434-3911 |
| Nichole A Rakow | Chiropractic | 11901 Central Neave, Blaine, MN 55434-3911 | |
| Ashley E Jerde | Chiropractic | Blaine Chiropracitc Center Pa | 11919 Central Ave Ne, Blaine, MN 55434-3911 |
| Michael T Hample | Chiropractic | Blaine Chiropracitc Center Pa | 11919 Central Ave Ne, Blaine, MN 55434-3911 |
| Steven J Kavros | Podiatry | Vascular Surgery Associates | 11855 Ulysses St Ne, Blaine, MN 55434-3947 |
| Find all physicians in zip 55434 | |||
| City | BLAINE |
| Zip Code | 55434 |
| Specialty | NEUROLOGY |
| City + Specialty | BLAINE + NEUROLOGY |
Please comment or provide details below to improve the information on Beth A Staab.
| 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.