DR. JOSEPH C MAYERLE (NPI# 1134356884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134356884 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH C MAYERLE |
| Credential | MD |
| Practice Address |
1455 Saint Francis Ave St Francis Regional Medical Center Emergency Department Shakopee MN 55379-3374 |
| Mailing Address |
1455 Saint Francis Ave St Francis Region Medical Center Emergency Department Shakopee MN 55379-3374 |
| Practice Telephone | 9524283000 |
| Mailing Telephone | 9524283000 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2012-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 58480 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1455 SAINT FRANCIS AVE ST FRANCIS REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743718 | Karyn E Barry | Nurse Anesthetist, Certified Registered | 1455 Saint Francis Ave, Anesthesiology, Shakopee, MN 55379-3374 | 2006-01-06 |
| 1922639392 | Sapana Shakya | Nurse Practitioner | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2020-02-04 |
| 1942845789 | Kaitlin Clawson | Occupational Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379 | 2019-11-15 |
| 1336795418 | Jillian Marie Entinger | Occupational Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2019-08-14 |
| 1588218135 | Matthias Samuel Oawster | Physical Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2019-07-31 |
| 1366928301 | Jennifer Margaret Pearson | Physical Therapist | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2018-07-12 |
| 1487105995 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-10-19 |
| 1588011431 | Catherine Ladner | Speech-Language Pathologist | 1455 Saint Francis Ave, St. Francis Rehabilitation Slp, Shakopee, MN 55379-3374 | 2016-05-20 |
| 1780030387 | Mark Hanson | Counselor | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-05-12 |
| 1992167449 | Eric Y Chen | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366713 | St Francis Regional Medical Center | Emergency Medicine | 1451 Adams St S, Shakopee, MN 55379-2697 | 2017-06-16 |
| 1992167449 | Eric Y Chen | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-03-23 |
| 1457532806 | Jonathan Cooper Pohland | Emergency Medicine | 1455 Saint Francis Ave, St Francis Regional Medical Center, Shakopee, MN 55379-3374 | 2007-11-14 |
| 1346274958 | Mark Danahy | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-07-10 |
| 1023045531 | James S Parker | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-28 |
| 1215964713 | Kyle E Kingsley | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-28 |
| 1861429326 | Jeffrey S Hill | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-28 |
| 1548205800 | Brian C Clarkowski | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-19 |
| 1699710954 | Matthew J Risken | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-19 |
| 1649214982 | Manuel Roman | Emergency Medicine | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-16 |
| Find all providers in SHAKOPEE | ||||
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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.