Kristina R Liaugaudas (NPI# 1114902434, PAC ID# 5890760342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114902434 |
| PAC ID by PECOS | 5890760342 |
| Professional Enrollment ID | I20040830000170 |
| Full Name | Kristina R Liaugaudas |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
12142 Business Park Blvd N Champlin MN 55316-4525 |
| Phone Number | 9529770500 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 9529932400 | PARK NICOLLET CLINIC |
| 6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 | 9529934900 | PARK NICOLLET CLINIC |
| 12142 Business Park Blvd N, Champlin, MN 55316-4525 | 9529770500 | PARK NICOLLET CLINIC |
| 15800 95th Ave N, Maple Grove, MN 55369-4400 | 9529931440 | PARK NICOLLET CLINIC |
| 4155 County Rd 101, Plymouth, MN 55446-2307 | 9529938900 | PARK NICOLLET CLINIC |
| 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | PARK NICOLLET CLINIC | |
| 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 9529933123 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
12142 BUSINESS PARK BLVD N |
| City | CHAMPLIN |
| State | MN |
| Zip | 55316-4525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine L Gehrmann | Physician Assistant | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Jongsok Pak | Psychiatry | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Kari L Mattson | Internal Medicine | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Jennifer M Vesely | Family Medicine | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| John W Apostol | Urology | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| April M Lind | Internal Medicine | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Amanda M Dinegan | Physician Assistant | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Daniel A Albright | Pediatric Medicine | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Alison A Eckhoff | Internal Medicine | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Asra A Mohiuddin | Pulmonary Disease | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Patrick Bertsch | Chiropractic | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Haley Ann Bertsch | Chiropractic | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Sarah Beth Schifsky | Nurse Practitioner | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Joseph Alan Bertsch | Chiropractic | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Timothy T Bertsch | Chiropractic | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Andrea M Newport | Physical Therapy | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Erik Starr | Chiropractic | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Tiffany Watson | Nurse Practitioner | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Maria M Eyberg | Physical Therapy | Team Health Care Clinic, PC | 12217 Champlin Dr, Champlin, MN 55316-1930 |
| Shane M Tsubaki | Physician Assistant | Minuteclinic Diagnostic of Minnesota Pa | 11990 Business Park Blvd N, Champlin, MN 55316-2005 |
| Find all physicians in zip 55316 | |||
| City | CHAMPLIN |
| Zip Code | 55316 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHAMPLIN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kristina R Liaugaudas.
| 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.