David J Patenaude (NPI# 1558348557, PAC ID# 7618019894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1558348557 |
| PAC ID by PECOS | 7618019894 |
| Professional Enrollment ID | I20100126000904 |
| Full Name | David J Patenaude |
| Organization Legal Name | ST CLOUD FOOT AND ANKLE CENTER PA |
| Address |
106 Doctors Park Saint Cloud MN 56303-1207 |
| Phone Number | 3202515444 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 2062589740 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 106 Doctors Park, Saint Cloud, MN 56303-1207 | 3202515444 | ST CLOUD FOOT AND ANKLE CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ST CLOUD FOOT AND ANKLE CENTER PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Eberly | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| Walter N Ellis | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| Ashton J Nelsen | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| Street Address |
106 DOCTORS PARK |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56303-1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Eberly | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| John Gottfried Mayer | Orthopedic Surgery | Dlp Twin County Physician Practices LLC | 106 Doctors Park, Galax, VA 24333-2276 |
| Meagan Crowder | Nurse Practitioner | Dlp Twin County Physician Practices LLC | 106 Doctors Park, Galax, VA 24333-2276 |
| Novlett S Campbell | Nurse Practitioner | Impact Carolina Services Inc | 106 Doctors Park, Lincolnton, NC 28092-4406 |
| Walter N Ellis | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| Ashton J Nelsen | Podiatry | St Cloud Foot and Ankle Center Pa | 106 Doctors Park, Saint Cloud, MN 56303-1207 |
| John Joseph Kovacich | Internal Medicine | Dlp Twin County Physician Practices LLC | 106 Doctors Park, Galax, VA 24333-2276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene J Beniek | Clinical Social Worker | 32104 Stearns County Rd, Suite 1, St Cloud, MN 56303 | |
| Troy A Payne | Sleep Medicine | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Troy A Scott | Family Medicine | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Keith J Leavell | Critical Care (intensivists) | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Piyush Das | General Practice | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Paul M Wenner | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Deborah A Scattarelli | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Cathy S Klick | Nurse Practitioner | Centracare Clinic | 1586 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Barbara A Carver | Psychologist, Clinical | St Cloud Hospital | 1572 County Rd, Suite 134, Saint Cloud, MN 56303-0346 |
| Judith L Huber | Psychologist, Clinical | Catholic Charities of The Diocese of St Cloud | 911 - 18th St N, Saint Cloud, MN 56303-1203 |
| Find all physicians in zip 56303 | |||
| City | SAINT CLOUD |
| Zip Code | 56303 |
| Specialty | PODIATRY |
| City + Specialty | SAINT CLOUD + PODIATRY |
Please comment or provide details below to improve the information on David J Patenaude.
| 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.