BRIELLE A LOE (NPI# 1073527651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073527651 |
| Entity Type | Individual |
| Full Name | BRIELLE A LOE |
| Credential | MD |
| Practice Address |
300 West Conan St. Duluth Clinic-ely Ely MN 56636 |
| Mailing Address |
300 W Conan Street Essentia Health Ely Clinic Ely MN 55731-1145 |
| Practice Telephone | 2183657900 |
| Mailing Telephone | 2183657900 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48683 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 464132000 | 05 | |
| MN | MEDICA | 01-25352 | 01 |
| RR MEDICARE PTAN | P00440552 | 01 | |
| MN | BCBSMN | 153H3LO | 01 |
| Street Address |
300 WEST CONAN ST. DULUTH CLINIC-ELY |
| City | ELY |
| State | MN |
| Zip Code | 56636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1992251235 | Ashley Ann Seedorf | Counselor | 313 Main Avenue, Deer River, MN 56636 | 2016-08-28 |
| 1376969675 | Thomas Kleinkauf | Family Medicine | 33688 East Point Rd, Deer River, MN 56636 | 2014-03-11 |
| 1619949328 | Jeffrey Lee Carter | Dentist | 111 Main Street, Deer River, MN 56636 | 2006-02-06 |
| 1811425895 | Leah Hildebrandt | Dentist | 111 Main St, Po Box 40, Deer River, MN 56636 | 2017-06-02 |
| 1689739435 | Independent School District No 317 | Local Education Agency (LEA) | 101 1st Ave Ne, Deer River, MN 56636-0307 | 2006-12-22 |
| 1144794793 | Michaela Ashlyn Fairbanks | Specialist/Technologist | 44711 County Road 18, Deer River, MN 56636-2148 | 2019-01-16 |
| 1407153158 | Judy Louise Lemieux | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2011-02-15 |
| 1043554702 | Rodney C Horgen | Chiropractor | 37958 Amen Lake Rd, Deer River, MN 56636-3064 | 2012-11-19 |
| 1679730220 | Deer River Hired Hands, Inc. | Day Training, Developmentally Disabled Services | 309 3rd Ave Se, Deer River, MN 56636-8617 | 2008-05-21 |
| Find all providers in zip 56636 | ||||
| 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 |
|---|---|---|---|---|
| 1407889702 | Julie Dawn Houle | Family Medicine | 1121 E Madison St, Ely, MN 55731-1740 | 2006-07-09 |
| 1033102306 | William H K Kama | Family Medicine | 400 B Newe Vw, Ely, NV 89301-3139 | 2005-08-23 |
| 1235585134 | Danyelle R Fenner | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2016-05-10 |
| 1801270798 | Nicholas Alexander Cooley | Family Medicine | 300 W Conan St, Ely, MN 55731 | 2015-07-10 |
| 1689912107 | Behnawa Pllc | Family Medicine | 1500 Avenue H, Ely, NV 89301-2615 | 2013-01-17 |
| 1447325709 | Mary Catherine Ulmaniec Bianco | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-11-22 |
| 1720151004 | Jeffrey Allen Wilt | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-11-16 |
| 1457458531 | Joseph Michael Schwinghamer | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-09-20 |
| 1104837863 | Joseph Anthony Bianco | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-08-10 |
| 1902833551 | Michael Warren Pettinelli | Family Medicine | 300 W Conan St, Ely, MN 55731-1145 | 2006-06-27 |
| Find all providers in ELY | ||||
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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.