ANNE ENANGA LIWONJO (NPI# 1306151675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306151675 |
| Entity Type | Individual |
| Full Name | ANNE ENANGA LIWONJO |
| Credential | M.D |
| Practice Address |
701 Hewitt Blvd Red Wing MN 55066-2848 |
| Mailing Address |
1386 N 10th St Lake City MN 55041-3313 |
| Practice Telephone | 6512675000 |
| Mailing Telephone | 6127016252 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60498 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036134343 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Highland Ave, Aurora, IL 605063814 | 6308924355 |
| Street Address |
701 HEWITT BLVD |
| City | RED WING |
| State | MN |
| Zip Code | 55066-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101128 | Brian D Proctor | Psychiatry & Neurology | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2005-06-01 |
| 1063027332 | Ryan Hannan | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-09-13 |
| 1164035838 | Jennifer Kuehn | Clinical Exercise Physiologist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-08-24 |
| 1174147607 | Gina Lee | Advanced Practice Midwife | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-06-01 |
| 1942832712 | Jacqueline J Meyer-rostad | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-10 |
| 1326679853 | Joseph Gonzales | Dietitian, Registered | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
| 1669003133 | Sara Lynn Stenlund | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-02-03 |
| 1013556489 | Lara Louise Beacom | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-01-02 |
| 1306482229 | Brian Burroughs | Physician Assistant | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-26 |
| 1417593922 | Mary Verdun | Nurse Practitioner | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568685360 | Michael D Anderson | Family Medicine | 2554 Deer Path Trl, Red Wing, MN 55066-4100 | 2007-04-10 |
| 1164497574 | John L Goeppinger | Family Medicine | 701 Fairview Blvd, Red Wing, MN 55066-2848 | 2006-02-20 |
| 1023545829 | Carrie Wojick | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2017-05-11 |
| 1679985246 | Julia Elizabeth Forberg | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2014-05-29 |
| 1982823951 | Kodjo Martial Bossou | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2007-04-25 |
| 1346302106 | Mark Stanley Mellstrom | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-12-15 |
| 1912974569 | David W Bahl | Family Medicine | 701 Fairview Blvd, Red Wing, MN 55066-2848 | 2006-03-02 |
| 1083681647 | Eric C Mollgaard | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-03-02 |
| 1518933480 | Sheila M Boss | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-02-28 |
| 1437124393 | John J Walsh | Family Medicine | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2006-02-22 |
| Find all providers in RED WING | ||||
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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.