Robert A Koshnick (NPI# 1265472393, PAC ID# 9830270529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1265472393 |
| PAC ID by PECOS | 9830270529 |
| Professional Enrollment ID | I20080119000008 |
| Full Name | Robert A Koshnick |
| Organization Legal Name | ST MARYS REGIONAL HEALTH CENTER |
| Address |
300 E Main Ave Frazee MN 56544-4504 |
| Phone Number | 2183347255 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1969 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2062326820 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240101 | ESSENTIA HEALTH ST MARYS - DETROIT LAKES |
| 350070 | ESSENTIA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | ST MARYS REGIONAL HEALTH CENTER | |
| 300 E Main Ave, Frazee, MN 56544-4504 | 2183347255 | ST MARYS REGIONAL HEALTH CENTER |
| Organization Legal Name | ST MARYS REGIONAL HEALTH CENTER |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayse J Aho | Qualified Speech Language Pathologist | St Marys Regional Health Center | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 |
| Kathy Nevins | Nurse Practitioner | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Jonathon R Peterson | Physical Therapy | St Marys Regional Health Center | 212 Aspen Ave Ne, Menahga, MN 56464-3289 |
| Rose A Haroldson | Physician Assistant | St Marys Regional Health Center | 110 Michigan Ave W, Walker, MN 56484-2274 |
| John J Ragan | Cardiovascular Disease (cardiology) | St Marys Regional Health Center | 114 Frazee St E, Detroit Lakes, MN 56501-3502 |
| Katie C Busker | Certified Registered Nurse Anesthetist (crna) | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Michelle T Thieman | Family Medicine | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Gaurav Suresh Mehta | Family Medicine | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Alexander E Moses | Optometry | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Binaya Khanal | Nephrology | St Marys Regional Health Center | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 |
| Street Address |
300 E MAIN AVE |
| City | FRAZEE |
| State | MN |
| Zip | 56544-4504 |
| City | FRAZEE |
| Zip Code | 56544 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FRAZEE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert A Koshnick.
| 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.