Sara J Mitlyng (NPI# 1013182005, PAC ID# 9133288194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013182005 |
| PAC ID by PECOS | 9133288194 |
| Professional Enrollment ID | I20081105000357 |
| Full Name | Sara J Mitlyng |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
300 Lake Dr E Chanhassen MN 55317-9302 |
| Phone Number | 9529934300 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY 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 |
| 300 Lake Dr E, Chanhassen, MN 55317-9302 | 9529934300 | PARK NICOLLET CLINIC |
| 19685 Hwy 7, Excelsior, MN 55331-7516 | 9529935900 | 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 |
| 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 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 |
300 LAKE DR E |
| City | CHANHASSEN |
| State | MN |
| Zip | 55317-9302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne D Liebhard | Family Medicine | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Patricia A Jilek | Optometry | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Karl James Bakken | Optometry | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Kathleen C Spencer | Physician Assistant | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Patricia K Oys | Physical Therapy | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Leslie A Trcka | Family Medicine | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Hannah E Heaston-lee | Physician Assistant | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Virginia L Kakacek | Family Medicine | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Victor C Van Hee | Preventative Medicine | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Alison E L Schini | Dermatology | Park Nicollet Clinic | 300 Lake Dr E, Chanhassen, MN 55317-9302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Fatu Agada | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Josephat M Mutahi | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Jamie J Anderson | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Julie R Stender | Clinical Social Worker | Starfish Services LLC | 600 W 78th St, Suite 220a, Chanhassen, MN 55317-2600 |
| Patricia M Ahrens | Clinical Social Worker | 600 W 78th St, Suite 210, Chanhassen, MN 55317-2600 | |
| Sara M Nuahn | Clinical Social Worker | Starfish Services LLC | 600 W 78th St, Suite 220a, Chanhassen, MN 55317-2600 |
| Ian P Mccann | Chiropractic | 2675 W 78th St, Chanhassen, MN 55317-4502 | |
| Timothy M Oneil | Chiropractic | 2675 W 78th St, Chanhassen, MN 55317-4502 | |
| Sean Daniel Neubauer | Chiropractic | Sd Neubauer Family Health and Wellness Pllc | 470 W 78th St, Suite 100, Chanhassen, MN 55317-4525 |
| Michael J Kennedy | Chiropractic | 470 W 78th St, Suite 120, Chanhassen, MN 55317-4525 | |
| Find all physicians in zip 55317 | |||
| City | CHANHASSEN |
| Zip Code | 55317 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHANHASSEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sara J Mitlyng.
| 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.