MITCHELL VINCENT GOSSMAN (NPI# 1447298443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447298443 |
| Entity Type | Individual |
| Full Name | MITCHELL VINCENT GOSSMAN |
| Credential | MD |
| Practice Address |
628 Roosevelt Rd Ste 101 Saint Cloud MN 56301-4867 |
| Practice Telephone | 3207743789 |
| Practice Fax Number | 3207743483 |
| Mailing Telephone | 3207743789 |
| Mailing Fax Number | 3207743483 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 35396 | MN | Allopathic & Osteopathic Physicians |
| N | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
35396 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
628 ROOSEVELT RD STE 101 |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073553996 | Andrea Christine Joplin | Ophthalmology | 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1518352210 | St. Cloud Eye Center, Inc | Ophthalmology | 4589 Henry C Yates Ln, Saint Cloud, FL 34769-6764 | 2015-03-31 |
| 1609814920 | Mark Thomas Moberg | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-02 |
| 1922006337 | Jose A Flores Guevara | Ophthalmology | 4589 Henry C. Yates Lane, Saint Cloud, FL 34769 | 2005-07-09 |
| 1043650575 | Joel W Nelson | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2013-06-28 |
| 1154352979 | Eye Surgeons & Physicians Pa | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-07-06 |
| 1255371175 | James Evan Heeter | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-08 |
| 1073553996 | Andrea Christine Joplin | Ophthalmology | 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 | 2006-06-08 |
| 1093755969 | John Andrew Dvorak | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-07 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
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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.