MAYO CLINIC HEALTH SYSTEM (NPI# 1356792808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356792808 |
Entity Type | Organization |
Organization Name | MAYO CLINIC HEALTH SYSTEM |
Practice Address |
501 N State St Waseca MN 56093 |
Mailing Address |
5755 W 136th St Savage MN 55378 |
Practice Telephone | 5078351210 |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-06-27 |
Authorized Official Name | JUDITH MORAA ONDUSO (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 6513669109 |
Authorized Official Credential | DNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 |
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM--OWATONNA | 2200 Nw 26th St, Owatonna, MN 55060-5503 |
Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-DECORAH CLINIC PHYSICIANS | 901 Montgomery St, Decorah, IA 52101 |
Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-FAIRMONT | 800 Medical Ctr Dr, Fairmont, MN 56031 |
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. | 700 W Ave S, La Crosse, WI 54601-4783 |
Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. | 1329 Main St, Lansing, IA 52151 |
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-LAKE CITY | 500 West Grant St, Lake City, MN 55041-1143 |
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-RED CEDAR INC | 2415 Stout Rd, Menomonie, WI 54751-2344 |
System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION | 404 Fountain St, Albert Lea, MN 56007-2437 |
Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION | 1000 First Dr Nw, Austin, MN 55912 |
Street Address |
501 N STATE ST |
City | WASECA |
State | MN |
Zip Code | 56093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306821129 | Bonnie J. Betts | Psychologist | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | 2005-12-14 |
1235210659 | Daniel R. Stahl | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-0000 | 2006-10-19 |
1134141666 | Shari Lynn Simondet | Nurse Practitioner | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093 | 2006-07-24 |
1730130113 | David A Pope | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | 2006-05-12 |
1912982653 | Susan T. Seykora | Dietitian, Registered | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
1235517673 | Breanna Weisbrod | Registered Nurse | 501 State St N, Waseca, MN 56093 | 2015-05-18 |
Find all providers in zip 56093 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
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.