MIRIAM V RAGAB (NPI# 1356335467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356335467 |
| Entity Type | Individual |
| Full Name | MIRIAM V RAGAB |
| Credential | DO |
| Practice Address |
110 Olsen Blvd Ne Cokato MN 55321-4359 |
| Mailing Address |
5001 American Blvd W Ste 945 Minneapolis MN 55437-1162 |
| Practice Telephone | 3202862123 |
| Mailing Telephone | 9528356653 |
| Mailing Fax Number | 9528353895 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2016-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54749 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 204656 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FQHC NUMBER | 331880 | 01 |
| NY | 00204656 | 05 | |
| NY | 00307662 | 05 |
| Street Address |
110 OLSEN BLVD NE |
| City | COKATO |
| State | MN |
| Zip Code | 55321-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813236 | Megan Marie Anderson | Physician Assistant | 110 Olsen Blvd Ne, Cokato, MN 55321-4359 | 2016-06-23 |
| 1386940187 | Allina Health System | Clinic/Center | 110 Olsen Blvd Ne, Cokato, MN 55321-4359 | 2011-01-27 |
| 1780641688 | Warren David Shepard | Internal Medicine | 110 Olsen Blvd Ne, Cokato, MN 55321-4359 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162228 | Michael Jeffery Kieke | Social Worker | 13637 60th Street Southwest, Cokato, MN 55321 | 2019-03-06 |
| 1992181366 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 145 Broadway Ave N, Cokato, MN 55321 | 2015-08-07 |
| 1881806552 | Charger Chiropractic & Soft Tissue Center P.C. | Chiropractor | 450 4th Street North, Dassel, MN 55321 | 2007-05-04 |
| 1215027479 | William Russell Fiedler | Dentist | 115 Olsen Blvd, Suite 200, Cokato, MN 55321 | 2006-10-16 |
| 1447260567 | David Gene Nesseth | Chiropractor | 235 Broadway Ave South, Cokato, MN 55321 | 2006-08-09 |
| 1023071818 | City of Cokato | Ambulance | 255 Broadway Ave S, Cokato, MN 55321 | 2006-04-11 |
| 1861765323 | Christine Frances Morris | Marriage & Family Therapist | 13637 60th St Sw, Cokato, MN 55321 | 2012-02-14 |
| 1194007914 | Michelle Lea Kraushaar Campbell | Marriage & Family Therapist | 13637 60th St Sw, Cokato, MN 55321 | 2011-09-19 |
| 1245441260 | Angela Ruth Meredith | Specialist | 235 Broadway Ave S, Cokato, MN 55321 | 2007-05-24 |
| 1245303825 | Cokato Eye Center | Optometrist | 115 Olsen Blvd, Cokato, MN 55321 | 2006-11-15 |
| Find all providers in zip 55321 | ||||
| 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 |
|---|---|---|---|---|
| 1932393808 | Jennifer Ray Mader | Family Medicine | 15383 43rd St Sw, Cokato, MN 55321-4606 | 2007-09-04 |
| 1689637241 | Thomas Joseph Styrvoky | Family Medicine | 110 Olsen Blvd, Cokato, MN 55321-4359 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 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.