THOMAS E KOTTKE (NPI# 1255307617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255307617 |
| Entity Type | Individual |
| Full Name | THOMAS E KOTTKE |
| Credential | MD |
| Practice Address |
640 Jackson Street Mc 11102h St Paul MN 55101-2502 |
| Mailing Address |
640 Jackson St Mail Stop 11102h Saint Paul MN 55101-2502 |
| Practice Telephone | 6512545175 |
| Practice Fax Number | 6512541603 |
| Mailing Telephone | 6512545175 |
| Mailing Fax Number | 6512541603 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
47187-0Z0 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
24324 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 363773500 | 05 |
| Street Address |
640 JACKSON STREET MC 11102H |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306095336 | Chelsey Jane Tollefson-hauer | Social Worker | 640 Jackson Street, St Paul, MN 55101-2502 | 2008-09-15 |
| 1205085594 | Margaret Mary Gallus | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 21110q, St Paul, MN 55101-2502 | 2008-09-11 |
| 1942473335 | Heather Ellsworth | Emergency Medicine | 640 Jackson Street, Regions Hospital, St Paul, MN 55101 | 2008-04-08 |
| 1982763660 | Gwendolyn A Polaski | Physician Assistant | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-12-08 |
| 1750477626 | Carol C Hunter | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-10-05 |
| 1952408197 | Trent R Whitcomb | Physician Assistant | 640 Jackson Street, Mc 115031, St Paul, MN 55101-2502 | 2006-09-20 |
| 1992802060 | Steven G Kremer | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-09-20 |
| 1336250174 | Mitchell P Chermack | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-31 |
| 1386653889 | Rory S Kortan | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-05 |
| 1477580348 | Kristin M Sticha | Nurse Practitioner | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1417924291 | Linda A Long | Internal Medicine | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-03-01 |
| 1093781452 | Glenn A Nickele | Internal Medicine | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-02-27 |
| 1982670766 | Stephen C Riendl | Internal Medicine | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-02-23 |
| 1871567974 | James Paul Morrison | Internal Medicine | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-02-15 |
| 1497728711 | William B Nelson | Internal Medicine | 640 Jackson St, Mc 11102h, St Paul, MN 55101-2502 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033619515 | Jrk Medical LLC | Internal Medicine | 2633 Superior Dr Nw Ste 100, Rochester, MN 55901-8395 | 2018-02-20 |
| 1215346507 | Thomas Russell II | Internal Medicine | 12315 Otchipwe Ave N, Stillwater, MN 55082-9547 | 2014-08-12 |
| 1336568724 | Alexandra Ritts | Internal Medicine | 3300 Oakdale Ave N # 200, Robbinsdale, MN 55422-2926 | 2014-04-14 |
| 1316364797 | Sumit I Patel | Internal Medicine | 420 Delaware Street Se, Mmc 508, Minneapolis, MN 55455 | 2014-03-24 |
| 1538472048 | Manpreet Singh Sabharwal | Internal Medicine | 225 Smith Ave N # Ate400, Saint Paul, MN 55102-2533 | 2010-07-26 |
| 1386884914 | Murad Heart Care | Internal Medicine | 3747 Woodland Trl, Eagan, MN 55123-2401 | 2009-02-22 |
| 1326295536 | John Allen Spittell Jr. | Internal Medicine | 614 Memorial Pkwy Sw, Rochester, MN 55902-6349 | 2008-08-20 |
| 1861692519 | Rebecca Jane Cogswell | Internal Medicine | 909 Fulton St Se Fl 3, Minneapolis, MN 55455-4800 | 2007-07-20 |
| 1457470155 | Bilal Shaukat Ali | Internal Medicine | 5121 W 59th St, Edina, MN 55436-2612 | 2007-03-27 |
| 1629107511 | Stephen N Oesterle | Internal Medicine | Medtronic Inc., Ms Lc 400, 710 Medtronic Pkwy., Ne, Minneapolis, MN 55432 | 2007-03-05 |
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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.