Terra J Shockman (NPI# 1417986324, PAC ID# 5597725044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1417986324 |
| PAC ID by PECOS | 5597725044 |
| Professional Enrollment ID | I20041019000257 |
| Full Name | Terra J Shockman |
| Organization Legal Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Address |
1983 Sloan Pl Suite 1 Saint Paul MN 55117-2095 |
| Phone Number | 6513265700 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3971407636 |
| Number of Group Practice Members | 491 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 | 6513265700 | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Organization Legal Name | HEALTHEAST MEDICAL RESEARCH INSTITUTE |
| Physicians | 507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Elizabeth Jennerjohn | Certified Nurse Midwife (cnm) | Healtheast Medical Research Institute | 2680 N Snelling Ave, Suite 200, Roseville, MN 55113-1876 |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Soua Vang | Physician Assistant | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Abby Jean Mohr | Physician Assistant | Healtheast Medical Research Institute | 1700 University Ave W, Saint Paul, MN 55104-3727 |
| Elizabeth R Lehner | Pediatric Medicine | Healtheast Medical Research Institute | 9900 Tamarack Rd, Woodbury, MN 55125-3609 |
| Heather Bacon | Certified Nurse Midwife | Healtheast Medical Research Institute | 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569 |
| Erica Bowen | Family Medicine | Healtheast Medical Research Institute | 14688 Everton Ave, Suite 101, Hugo, MN 55038-6051 |
| Michael E Fried | Clinical Social Worker | Healtheast Medical Research Institute | 1055 Centerville Cir, Vadnais Heights, MN 55127-5033 |
| Sarah K Hallman | Certified Nurse Midwife (cnm) | Healtheast Medical Research Institute | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 |
| Thomas W Brink | Internal Medicine | Healtheast Medical Research Institute | 17 W Exchange St, Suite 835, Saint Paul, MN 55102-1226 |
| Street Address |
1983 SLOAN PL SUITE 1 |
| City | SAINT PAUL |
| State | MN |
| Zip | 55117-2095 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soua Vang | Physician Assistant | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Melinda E Stack | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Katlyn S Schmitz | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Aneel Damle | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Kelley R Jewett | Family Medicine | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| David J Delaney Elsner | Family Medicine | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Vincent A Simone Jr. | Podiatry | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Brett T Gemlo | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Sopida Trageser | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Elizabeth K Williams | Family Medicine | Healtheast Medical Research Institute | 1983 Sloan Pl, Suite 1, Saint Paul, MN 55117-2095 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannielle M White | Clinical Social Worker | 312 County Rd D E, Little Canada, MN 55117-1275 | |
| Poua Thao | Chiropractic | 75 Little Canada Rd W, Little Canada, MN 55117-1362 | |
| Patti Jm Teachout | Occupational Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Brian T Eipperle | Physical Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Megan K Frost | Physical Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Tess H Rybar | Occupational Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Daniel L Kirkpatrick | Physical Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Laurie J Hamerly | Physical Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Maryann S Nelson | Occupational Therapy | Step Therapies, Inc | 75 Viking Dr W, Suite 101, Little Canada, MN 55117-1778 |
| Kristin A Weimerskirch | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 1983 Sloan Pl, Suite 11, Saint Paul, MN 55117-2004 |
| Find all physicians in zip 55117 | |||
| City | SAINT PAUL |
| Zip Code | 55117 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT PAUL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Terra J Shockman.
| 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.