TERRY JOHN PUCHALLA (NPI# 1386841971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386841971 |
| Entity Type | Individual |
| Full Name | TERRY JOHN PUCHALLA |
| Credential | RDMS |
| Practice Address |
720 Highway 10 S Saint Cloud MN 56304-1800 |
| Practice Telephone | 3202539454 |
| Practice Fax Number | 3202539454 |
| Mailing Telephone | 3202539454 |
| Mailing Fax Number | 3202539454 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
108145 | MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
720 HIGHWAY 10 S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912329228 | Taleasha Jerde | Radiologic Technologist | 1236 Farrell St N, Maplewood, MN 55119-3175 | 2014-01-07 |
| 1356656789 | Jacob William Kemper | Radiologic Technologist | 2225 Orleans St W Apt 221a, Stillwater, MN 55082-6579 | 2010-08-10 |
| 1114549409 | Patrick G Gramaglia Jr. | Radiologic Technologist | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-05-11 |
| 1215366745 | Katherine Williams | Radiologic Technologist | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2013-11-05 |
| City | SAINT CLOUD |
| Zip Code | 56304 |
Please comment or provide details below to improve the information on TERRY JOHN PUCHALLA.
| 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.