SIMON MILSTEIN (NPI# 1164424974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164424974 |
| Entity Type | Individual |
| Full Name | SIMON MILSTEIN |
| Credential | MD |
| Practice Address |
1200 6th Ave N Saint Cloud MN 56303-2735 |
| Practice Telephone | 3202525131 |
| Practice Fax Number | 3202402118 |
| Mailing Telephone | 3202525131 |
| Mailing Fax Number | 3202402118 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
30710 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRST HEALTH PLAN | 1733471 | 01 | |
| MN | 338088200 | 05 | |
| HEALTH PARTNERS | HP13986 | 01 | |
| PREFERRED ONE | 1012851 | 01 | |
| ONE HEALTH PLANGREAT WEST | COMP | 01 | |
| BLUE CROSS BLUE SHEILD | 059K2MI | 01 | |
| ST CLOUD HOSPITAL | 25174 | 01 | |
| CHAMPUS | COMP | 01 | |
| MEDICA HEALTH PLANS | 2501032 | 01 | |
| MEDICAL ASSISTANCE (MA) | 338088200 | 01 | |
| U-CARE | 100318 | 01 | |
| MMSI | 06-26-2003 | 01 |
| Street Address |
1200 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805518 | Paul Charles Peterson | Emergency Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-07-15 |
| 1871127290 | Kayla Girgen | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2020-02-25 |
| 1023640034 | Faith Kelly Dammann | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2020-02-07 |
| 1538707377 | Alissa Wigen | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-12-11 |
| 1639713290 | Jordan Lajoie | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-06 |
| 1528602430 | Hannah Elise Osterndorf | Dietitian, Registered | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-11-04 |
| 1558919100 | Mergitu Megersa Gemeda | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-08-27 |
| 1659927879 | Jennifer Marie Bretscher | Physician Assistant | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2019-08-13 |
| 1366094302 | Laura Verley | Registered Nurse | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2019-07-10 |
| 1063074235 | Briana Gray | Pharmacist | 1200 6th Ave N, Internal Medicine, Saint Cloud, MN 56303-2735 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992930101 | Archana Rajdev | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2009-05-18 |
| 1740273374 | Ann Dunnigan | Internal Medicine | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043507577 | Yan Dong | Internal Medicine | 1001 E Superior St Ste 201, Duluth, MN 55802-2228 | 2011-07-05 |
| 1639464498 | Ryan J Koene | Internal Medicine | 172 6th St E, Saint Paul, MN 55101-1993 | 2011-06-09 |
| 1629267588 | Edriss Ali Charaf | Internal Medicine | 1700 University Ave W Fl 7, Saint Paul, MN 55104-3727 | 2007-10-17 |
| 1184662967 | Marco A Guerrero | Internal Medicine | 640 Jackson Street - Ms 11102m, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-06-03 |
| 1598390072 | Haley Stebbing | Internal Medicine | 800 E 28th St # H2100, Minneapolis, MN 55407-3723 | 2020-03-05 |
| 1477018596 | Darwin Yeung | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2019-02-02 |
| 1336628007 | Walid Barake | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2018-08-13 |
| 1790203156 | Avi Sabbag | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-09-06 |
| 1366883712 | Fatima Ali-ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-15 |
| 1891044400 | Narayan Gurukrip Kowlgi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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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.