KRISTIN M LYERLY (NPI# 1295965069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295965069 |
| Entity Type | Individual |
| Full Name | KRISTIN M LYERLY |
| Credential | M.D. |
| Practice Address |
9855 Hospital Dr Maple Grove MN 55369-4648 |
| Mailing Address |
704 S Webster Ave Suite 300 Green Bay WI 54301-3528 |
| Practice Telephone | 9529933282 |
| Mailing Telephone | (920) 468-3444 |
| Mailing Fax Number | 9204326313 |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 62905 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 55290-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 704 S Webster Ave, Suite 300, Green Bay, WI 543013528 | 9204683444 | 9204326313 |
| Street Address |
9855 HOSPITAL DR |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014438 | Nicole T Lowe | Emergency Medicine | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2005-06-22 |
| 1790170488 | Julia Donnelly Coffey | Obstetrics & Gynecology | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2015-03-31 |
| 1457619116 | North Memorial Health Care | Clinic/Center | 9855 Hospital Dr, Suite 102b, Maple Grove, MN 55369-4648 | 2012-05-01 |
| 1396034856 | Tracy Lynn Gosen Clary | Obstetrics & Gynecology | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2011-04-05 |
| 1760788830 | Hashim Nemat | Internal Medicine | 9855 Hospital Dr, Suite 102b, Maple Grove, MN 55369-4648 | 2011-02-07 |
| 1316133044 | North Memorial Ambulatory Surgery Center At Maple Grove, LLC | Clinic/Center | 9855 Hospital Dr, Ste 175, Maple Grove, MN 55369-4772 | 2007-09-17 |
| 1720274467 | North Memorial Endoscopy Center At Maple Grove, LLC | Clinic/Center | 9855 Hospital Dr, Suite 275, Maple Grove, MN 55369-4778 | 2007-09-17 |
| 1538351978 | Jeanne Nugent Gengerke | Obstetrics & Gynecology | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2007-08-09 |
| 1073597381 | Mark S Hench | Family Medicine | 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369-4648 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181541 | Anna Corinne Meyer | Obstetrics & Gynecology | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2015-04-09 |
| 1790170488 | Julia Donnelly Coffey | Obstetrics & Gynecology | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2015-03-31 |
| 1952716680 | Hilary Frank | Obstetrics & Gynecology | 9825 Hospital Drive Ste 205, Maple Grove, MN 55369 | 2014-06-20 |
| 1033521059 | Caitlin Ruth Kuck | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2014-05-25 |
| 1275970402 | Sarah A Wernimont | Obstetrics & Gynecology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-05-29 |
| 1346583861 | Jenny J Zhang | Obstetrics & Gynecology | 9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 | 2013-04-03 |
| 1346582558 | Bethany Ann Sabol | Obstetrics & Gynecology | 14500 99th Ave N, Maple Grove, MN 55369-4730 | 2013-03-26 |
| 1558624171 | Sarah Kathleen Tillman | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2012-06-19 |
| 1083904049 | Jacinda Elyse Siberio | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2011-04-12 |
| 1396034856 | Tracy Lynn Gosen Clary | Obstetrics & Gynecology | 9855 Hospital Dr, Maple Grove, MN 55369-4648 | 2011-04-05 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on KRISTIN M LYERLY.
| 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.