DR. MATTHEW GERALD POLLEMA (NPI# 1427131895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427131895 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW GERALD POLLEMA |
| Credential | MD |
| Practice Address |
1025 Marsh St Mankato MN 56002-8673 |
| Mailing Address |
1025 Marsh St Mankato MN 56001 |
| Practice Telephone | 5073852653 |
| Mailing Telephone | 5076254031 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
52861 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
48851 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
1025 MARSH ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56002-8673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316206 | James J Milavetz | Internal Medicine | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-09-14 |
| 1811596059 | Kiman Dinh | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-10-20 |
| 1295349710 | Joseph Flynn | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-09-02 |
| 1972115962 | Mohamed A Ibrahim | Community Health Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-08-20 |
| 1174147110 | Emily Behrend | Advanced Practice Midwife | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-06-05 |
| 1205455755 | Whitney Farr | Social Worker | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-04-15 |
| 1134765233 | Kay S Williams | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-23 |
| 1871138263 | Sydney Mcinnis | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-11-09 |
| 1730739061 | Kelsey Elizabeth Mork | Physician Assistant | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-18 |
| 1891345369 | Matthew Joseph Perri | Nurse Practitioner | 1025 Marsh St, Mankato, MN 56001-4752 | 2019-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004803 | Karl Philip Roos | Internal Medicine | 1230 East Main Street, Mankato, MN 56002 | 2007-01-30 |
| 1316974967 | Dale L Carlson | Optometrist | 220 East Main, Mankato, MN 56002-3387 | 2006-06-27 |
| 1992789986 | Brenda Oian Iv | Marriage & Family Therapist | Blue Earth County Government Center, 410 South 5th Street, Mankato, MN 56002-3526 | 2005-12-02 |
| 1811040769 | County of Blue Earth | Public Health or Welfare | 410 S 5th St, Mankato, MN 56002-3526 | 2007-01-22 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1962660324 | Hope Rene Bollig | Physician Assistant | 1015 Marsh St, Mankato, MN 56002-8673 | 2008-06-01 |
| 1144217209 | Erin E Bissonnette | Nurse Practitioner | 1230 E. Main Street, Mankato Clinic @ Main Street, Mankato, MN 56002-8674 | 2005-10-04 |
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| 1922236223 | Jennifer M Hanson | Registered Nurse | 1230 E. Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2009-06-24 |
| 1124210398 | Tara Jean Denke | Obstetrics & Gynecology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-08-13 |
| Find all providers in zip 56002 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700178159 | Andrew Zenhong Chow | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2011-05-04 |
| 1316266562 | Usman Anwer | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2010-05-27 |
| 1407084478 | Christopher Martin Mager | Radiology | 1230 E Main St, Mankato, MN 56001-5066 | 2009-06-29 |
| 1104069988 | Peter B Ryan Reichert | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2009-04-09 |
| 1649324690 | Matthew James Schaefer | Radiology | 1025 Marsh St, Mankato, MN 56002-8673 | 2007-01-23 |
| 1407906688 | Jonathan Michael Hard | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2007-01-11 |
| 1164478418 | Lynn Bakeerah Hassan Jones | Radiology | 1230 E Main St, Po Bocx 8674, Mankato, MN 56001-5066 | 2006-05-26 |
| 1225017098 | Mark John Austin | Radiology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-01-11 |
| 1811976863 | Phillip G Benzmiller | Radiology | 1230 E Main St, Mankato Clinic, Ltd, Mankato, MN 56001-5066 | 2006-01-10 |
| 1497734446 | James R Custer | Radiology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2006-01-10 |
| Find all providers in MANKATO | ||||
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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.