Timothy M Thormodsgard (NPI# 1063611770, PAC ID# 8426206467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1063611770 |
| PAC ID by PECOS | 8426206467 |
| Professional Enrollment ID | I20120917000077 |
| Full Name | Timothy M Thormodsgard |
| Organization Legal Name | LAKEVIEW CLINIC, LTD. |
| Address |
424 W State Hwy 5 Waconia MN 55387-1723 |
| Phone Number | 9524424461 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6002801453 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240056 | RIDGEVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 424 W State Hwy 5, Waconia, MN 55387-1723 | 9524424461 | LAKEVIEW CLINIC, LTD. |
| Organization Legal Name | LAKEVIEW CLINIC, LTD. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Kennealy | Physician Assistant | Lakeview Clinic, Ltd. | 406 Faxon Rd, Norwood, MN 55368-9507 |
| Amy J Meath | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| John E Beithon | Family Practice | Lakeview Clinic, Ltd. | 309 Jefferson Ave Sw, Watertown, MN 55388-9266 |
| Paul E Brown | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Timothy M Grangaard | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Tara L Mcmichael | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Erin L Chinnock | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Michelle L Flaskerud | Nurse Practitioner | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Abigail K Elliott | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Victoria K Zbikowski | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Street Address |
424 W STATE HWY 5 |
| City | WACONIA |
| State | MN |
| Zip | 55387-1723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Meath | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Paul E Brown | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Timothy M Grangaard | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Tara L Mcmichael | Internal Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Erin L Chinnock | Obstetrics/gynecology | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Michelle L Flaskerud | Nurse Practitioner | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Abigail K Elliott | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Victoria K Zbikowski | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Erica L Weber | Physician Assistant | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Laurie J Lindor | Family Medicine | Lakeview Clinic, Ltd. | 424 W State Hwy 5, Waconia, MN 55387-1723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Neubauer | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Ashley Tolvstad | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Matthew D Neubauer | Chiropractic | Neubauer Chiropractic Health Center Pa | 20 W Main St, Waconia, MN 55387-1020 |
| Robin L Petrich | Nurse Practitioner | Minuteclinic Diagnostic of Minnesota Pa | 875 E Main St, Waconia, MN 55387-1081 |
| Leah M Soltis | Chiropractic | Soltis Family Chiropractic | 32 E Main St, Waconia, MN 55387-1113 |
| Jeffrey L Soltis | Chiropractic | Soltis Family Chiropractic | 32 E Main St, Waconia, MN 55387-1113 |
| Cale A Berry | Chiropractic | 137 W 1st St, Waconia, MN 55387-1190 | |
| John Schneider | Clinical Social Worker | Cedar House Inc | 201 W 1st St, Waconia, MN 55387-1302 |
| Heather A Tuttle | Optometry | 753 Marketplace Dr, Waconia, MN 55387-1549 | |
| Michelle L Purtle | Psychologist, Clinical | Carver County | 540 E 1st St, Waconia, MN 55387-1601 |
| Find all physicians in zip 55387 | |||
| City | WACONIA |
| Zip Code | 55387 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WACONIA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Timothy M Thormodsgard.
| 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.