NICOLE L HARTUNG (NPI# 1255300885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255300885 |
| Entity Type | Individual |
| Full Name | NICOLE L HARTUNG |
| Other Name | NICOLE L WENTWORTH |
| Credential | M.D. |
| Practice Address |
110105 Pioneer Trl W Ste 302 Chaska MN 55318-2680 |
| Mailing Address |
2550 University Ave W Ste 110n Saint Paul MN 55114-2001 |
| Practice Telephone | 9523615800 |
| Practice Fax Number | 9523615858 |
| Mailing Telephone | 6516025309 |
| Mailing Fax Number | 6512226786 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2017-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
43587 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 3600166 | 01 |
| MN | AMERICA'S PPO | 1383614 | 01 |
| MN | BLUE CROSS BLUE SHIELD MN | 69B77WE | 01 |
| MN | HEALTHPARTNERS | HP33218 | 01 |
| MN | PREFERRED ONE | 1027664 | 01 |
| MN | UCARE MN | 140263 | 01 |
| MN | 260472800 | 05 | |
| WI | 34182800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013272590 | Nicole Hartung | Specialist | 28 Heritage Dr Apt H, New City, NY 10956-5339 | 2012-07-10 |
| Street Address |
110105 PIONEER TRL W STE 302 |
| City | CHASKA |
| State | MN |
| Zip Code | 55318-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639209224 | Purvi Gada | Internal Medicine | 110105 Pioneer Trl W Ste 302, Chaska, MN 55318-2680 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742968 | Elizabeth Ann Root | Counselor | 111 Hundertmark Rd Suite 450, Chaska, MN 55318 | 2018-09-01 |
| 1972002244 | Ruth Ann Plante | Counselor | 510 Chestnut Street Suite 201, Chaska, MN 55318 | 2018-02-01 |
| 1265959795 | Bhatti Gi Surgery Center LLC | Clinic/Center | 1447 White Oak Dr, Chaska, MN 55318 | 2017-08-25 |
| 1194241166 | Five Stars Recovery Center | Clinical Medical Laboratory | 1045 Stoughton Ave., Chaska, MN 55318 | 2017-08-21 |
| 1306383419 | Laurie Ann Sisser | Registered Nurse | 123 W. 3rd Street, Suite #1, Forever Life Home Health Care, Chaska, MN 55318 | 2017-01-26 |
| 1942756671 | David Erlandson | Physical Therapist | 110105 Pioneer Trail, #201, Chaska, MN 55318 | 2016-09-01 |
| 1912319286 | Chaska Commons Dental Group PC | Dentist | 114 Pioneer Trail, Chaska, MN 55318 | 2014-05-21 |
| 1063546620 | Laura Lee Bergjord | Social Worker | 600 East 4th St, Chaska, MN 55318 | 2007-03-15 |
| 1184758740 | Jennifer Ann Mueller | Social Worker | 401 East Fourth Street, Chaska, MN 55318 | 2007-03-15 |
| 1487785234 | The Salvation Army Harbor Light Center Beacon Program | Substance Abuse Rehabilitation Facility | 11065 Village Road, Chaska, MN 55318 | 2007-03-07 |
| Find all providers in zip 55318 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160368 | Lee Newcomer | Internal Medicine | 15011 Woods Edge, Minnetonka, MN 55345-2900 | 2016-04-25 |
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1043423437 | Alexander A Levitan | Internal Medicine | 2051 Long Lake Road, New Brighton, MN 55112-5166 | 2007-05-08 |
| 1972690113 | Gail P. Bender, M.d.,p.a. | Internal Medicine | 6490 Excelsior Blvd Ste W106, St Louis Park, MN 55426-4741 | 2006-10-09 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
| 1346213097 | Bret Edward Buckley Friday | Internal Medicine | 400 East 3rd St, Duluth, MN 55805 | 2006-02-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1205827466 | Mark D Hauge | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2005-11-04 |
| 1033110259 | Michael John O'connell | Internal Medicine | 812 Paxton Rd Sw, Rochester, MN 55902-6643 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
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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.