JEFFERY J TEMPLE (NPI# 1356321467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356321467 |
Entity Type | Individual |
Full Name | JEFFERY J TEMPLE |
Credential | NP |
Practice Address |
111 Golf Course Rd Ste 1 Grand Rapids MN 55744-3526 |
Practice Telephone | 2183268749 |
Practice Fax Number | 2183260400 |
Mailing Telephone | 2183268749 |
Mailing Fax Number | 2183260400 |
Enumeration Date | 2006-01-17 |
Last Update Date | 2013-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0359861 | MN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RAILROAD MEDICARE | 500026265 | 01 |
MN | 849650100 | 05 | |
MN | U CARE | 143435 | 01 |
MN | MEIDCA | 0106837 | 01 |
MN | BCBS | 41B60TE | 01 |
MN | ITASCA MEDICAL CARE | 849650100 | 01 |
MN | PREFERRED ONE | 982221028303 | 01 |
MN | HEALTH PARTNERS | HP49668 | 01 |
MN | CHAMPUS | NO10804 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881995538 | Jeffery R Temple | Psychologist | 301 University Blvd, Galveston, TX 77555-5302 | 2010-11-11 |
Street Address |
111 GOLF COURSE RD STE 1 |
City | GRAND RAPIDS |
State | MN |
Zip Code | 55744-3526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396745576 | Paul Norman Olson | Radiology | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2005-07-28 |
1124427414 | Northern Pines Orthopaedic Center, LLC | Clinic/Center | 111 Golf Course Rd, Suite 3, Grand Rapids, MN 55744-3526 | 2014-08-22 |
1811313612 | Alans Physical Therapy of Grand Rapids | Clinic/Center | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2014-03-17 |
1831268978 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2006-11-06 |
1902875040 | Donald M Carlson | Physical Therapist | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2006-03-14 |
1144290958 | Daniel L Baker | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-24 |
1508846619 | Northern Pines Orthopaedic Clinic, P.a. | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
Find all providers in zip 55744 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154893956 | Jacquelyn Dunn | Nurse Practitioner | 630 Kenmoor Ave Se Ste 102, Grand Rapids, MI 49546-8626 | 2018-12-19 |
1558900183 | Kathryn Long | Nurse Practitioner | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 | 2019-12-30 |
1134690761 | Koren Gebben | Nurse Practitioner | 1959 East Paris Ave Se, Grand Rapids, MI 49546-6272 | 2018-12-07 |
1841775483 | Stacy Lu Allen | Nurse Practitioner | 35 Michigan St Ne Ste 4150, Grand Rapids, MI 49503-2529 | 2018-09-29 |
1538654835 | Anna Marie Rykse | Nurse Practitioner | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2018-06-28 |
1578065140 | Kallie Rae Kraker | Nurse Practitioner | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-02-28 |
1083122790 | Christopher Michael Bouma | Nurse Practitioner | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-01-16 |
1144732850 | Michelle Kristine Buist | Nurse Practitioner | 35 Michigan St Ne, Grand Rapids, MI 49503-2514 | 2017-11-03 |
1952810830 | Kaitlin Jane Hendriksma | Nurse Practitioner | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2017-09-24 |
1962954354 | Samantha Lynne Wylie | Nurse Practitioner | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2016-11-01 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 55744 |
Please comment or provide details below to improve the information on JEFFERY J TEMPLE.
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.