MARK WILLIAM DEWEY (NPI# 1134253750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134253750 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM DEWEY |
| Credential | PHARM.D., CGP |
| Practice Address |
712 S Cascade St Lake Region Healthcare Corp Fergus Falls MN 56537-2913 |
| Mailing Address |
23050 Birchwood Estates Rd Fergus Falls MN 56537-4518 |
| Practice Telephone | 2187368057 |
| Mailing Telephone | 2187368057 |
| Mailing Fax Number | 2187368787 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
116779-3 | MN | Pharmacy Service Providers |
| Street Address |
712 S CASCADE ST LAKE REGION HEALTHCARE CORP |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478582 | Angela J Folstad | Pediatrics | 712 S Cascade St, Atten Medical Staff Services, Fergus Falls, MN 56537-2913 | 2005-06-24 |
| 1528677572 | Melissa Koehl | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2020-07-27 |
| 1578171765 | Eugenie Loeffler | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2020-07-14 |
| 1326665274 | Destiny Conzemius | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2020-06-26 |
| 1811531478 | Amera Diane Nelson | Dietitian, Registered | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-11-06 |
| 1124661442 | Emily Busch | Dietitian, Registered | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-10-18 |
| 1104479534 | Katie Martin | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-24 |
| 1205498656 | Alyse Engen | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-07 |
| 1851857833 | Keon Idris Griffie | Nurse Practitioner | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-02-14 |
| 1245700368 | Ashley Nicole Hunstiger | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2018-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301768 | Brian Haug | Pharmacist | 12083 Scenic River Dr, Baxter, MN 56425-8399 | 2020-09-16 |
| 1659856094 | William Frank Vouk IIi | Pharmacist | 1017 N 19th Ave E, Duluth, MN 55812-1127 | 2018-10-02 |
| 1962994186 | Neil Peter Thompson | Pharmacist | 4048 19th Ave S, Minneapolis, MN 55407-3402 | 2018-06-04 |
| 1154822617 | John Travis Hansen | Pharmacist | 40 Crusader Ave W, West St Paul, MN 55118-4425 | 2018-02-21 |
| 1104325075 | Patty Ann Doyle | Pharmacist | 8712 Sandro Rd, Bloomington, MN 55438-1229 | 2018-02-06 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| 1043581416 | Matthew John Schille | Pharmacist | 1509 10th Ave South, Suite 16, Minneapolis, MN 55404 | 2012-01-18 |
| 1477834976 | Richard Allen Hasher | Pharmacist | 425 Wabasha St N, Saint Paul, MN 55102-1108 | 2011-08-30 |
| 1801118955 | Brenda Marie Pederson | Pharmacist | 6616 Union Lake Trl, Lonsdale, MN 55046-4324 | 2010-02-17 |
| 1437211141 | Dean Ray Schmiedt | Pharmacist | 24411 147th Ave, Fort Ripley, MN 56449-2107 | 2006-12-16 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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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.