Barry Marolt (NPI# 1528267382, PAC ID# 7618016395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528267382 |
| PAC ID by PECOS | 7618016395 |
| Professional Enrollment ID | I20180711003973 |
| Full Name | Barry Marolt |
| Organization Legal Name | MAPLE GROVE HOSPITAL CORPORATION |
| Address |
9875 Hospital Dr Maple Grove MN 55369-4648 |
| Phone Number | 7635811000 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547309213 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240214 | MAPLE GROVE HOSPITAL |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9875 Hospital Dr, Maple Grove, MN 55369-4648 | 7635811000 | MAPLE GROVE HOSPITAL CORPORATION |
| Organization Legal Name | MAPLE GROVE HOSPITAL CORPORATION |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Viet Q Pham | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Kaylle Rose Schmit Foley | Nurse Practitioner | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Alakananda Nagaraj | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Eimad Ma Ahmmad | Hospitalist | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Richard L Byakika | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Tommy M Cho | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Mary B Trombley | Nurse Practitioner | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Obsa A Hassan | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Brennan Shutt | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Jerrod D Quarles | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Street Address |
9875 HOSPITAL DR |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-4648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla J Runkle | Certified Registered Nurse Anesthetist (crna) | Anesthesiology, P.a. | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Jeremy J Jerdee | Certified Registered Nurse Anesthetist (crna) | Anesthesiology, P.a. | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Jon J Fish | Certified Registered Nurse Anesthetist (crna) | Anesthesiology, P.a. | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Casey A Peterson | Certified Registered Nurse Anesthetist (crna) | Anesthesiology, P.a. | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Viet Q Pham | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Natalia S Dorland | Neurology | Minneapolis Clinic of Neurology Ltd | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Kaylle Rose Schmit Foley | Nurse Practitioner | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Julie L Dahl | Nurse Practitioner | Respiratory Consultants | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Alakananda Nagaraj | Internal Medicine | Maple Grove Hospital Corporation | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Brett R Lindsay | Certified Registered Nurse Anesthetist (crna) | Anesthesiology, P.a. | 9875 Hospital Dr, Maple Grove, MN 55369-4648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MAPLE GROVE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Barry Marolt.
| 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.