SHIELA KLEMMETSEN (NPI# 1033555867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033555867 |
| Entity Type | Individual |
| Full Name | SHIELA KLEMMETSEN |
| Other Name | SHIELA STEGORA |
| Credential | M.D. |
| Practice Address |
Essentia Health St. Joseph's-baxter Clinic 13060 Isle Drive Baxter MN 56425 |
| Mailing Address |
Po Box 10700 Grand Junction CO 81502-5517 |
| Practice Telephone | 2188282880 |
| Mailing Telephone | 9702451220 |
| Mailing Fax Number | 9702459148 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0054133 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71720103 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3150 N 12th St, Grand Junction, CO 815062863 | 9702451220 | 9702459148 |
| Street Address |
ESSENTIA HEALTH ST. JOSEPH'S-BAXTER CLINIC 13060 ISLE DRIVE |
| City | BAXTER |
| State | MN |
| Zip Code | 56425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364089 | Jennifer Ann Olson | Behavioral Analyst | Autism Matters 14387 Edgewood Drive, Baxter, MN 56425 | 2020-04-13 |
| 1801229000 | Longville Lakes Clinic, Inc. | Clinic/Center | 13205 Isle Drive, Baxter, MN 56425 | 2013-08-12 |
| 1053547299 | Linda Marie Bowman | Social Worker | 13397 Shadow Wood Drive, Baxter, MN 56425 | 2009-06-02 |
| 1215112792 | Brainerd Medical Center, Inc. | Nurse Practitioner | 14133 Edgewood Drive, Baxter, MN 56425 | 2008-01-03 |
| 1134313208 | Sleep Center of Central Minnesota LLC | Clinic/Center | 13495 Elder Drive, Suite 120, Baxter, MN 56425 | 2007-08-31 |
| 1750582482 | Jacqueline Elizabeth Oelfke | Nurse Practitioner | Cbhh-baxter, 14241 Grand Oaks Dr., Baxter, MN 56425 | 2007-05-30 |
| 1508080631 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14398 Grand Oaks Drive, Baxter, MN 56425 | 2007-04-12 |
| 1093842247 | Five Star Living of Brainerd, LLC | Assisted Living Facility | 14396 Grand Oaks Dr, Baxter, MN 56425 | 2007-02-27 |
| 1053458364 | Teri Kaminski Peterson | Speech-Language Pathologist | 15620 Edgewood Dr Ste 240, Baxter, MN 56425 | 2007-01-30 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| Find all providers in zip 56425 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023471620 | Tri-county Hospital Inc | Family Medicine | 13495 Elder Dr Ste 140, Baxter, MN 56425-8765 | 2016-03-31 |
| 1225639230 | Ammber Sahr | Family Medicine | 7350 Clearwater Rd, Baxter, MN 56425-8463 | 2020-11-05 |
| 1720465552 | Andrew Bader | Family Medicine | 13060 Isle Dr, Baxter, MN 56425 | 2015-04-30 |
| 1285078576 | Ryan J Fier | Family Medicine | 13205 Isle Dr, Baxter, MN 56425 | 2013-04-17 |
| 1427312529 | Julie A Steinhauser | Family Medicine | 13205 Isle Dr, Baxter, MN 56425 | 2012-07-03 |
| 1407113418 | Emily Maere Dunphy Day | Family Medicine | 13060 Isle Dr, Baxter, MN 56425-8331 | 2012-04-15 |
| 1316238355 | Joshua P. Kempf | Family Medicine | 13060 Isle Dr, Baxter, MN 56425-8331 | 2011-04-25 |
| 1326212077 | Jared R Reese | Family Medicine | 13060 Isle Dr, Baxter, MN 56425-8331 | 2008-04-14 |
| 1801875869 | Kevin J Bardwell | Family Medicine | 13060 Isle Dr, Baxter, MN 56425-8331 | 2006-01-10 |
| 1780662007 | Joseph Moriarty | Family Medicine | 13060 Isle Dr, Baxter, MN 56425-8331 | 2006-01-06 |
| Find all providers in BAXTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.