FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA (NPI# 1487885653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487885653 |
| Entity Type | Organization |
| Organization Name | FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA |
| Other Organization Name | CENTER FOR SPECIALTY CARE-BLUE EARTH |
| Practice Address |
435 S Grove St Suite 3 Blue Earth MN 56013-2604 |
| Mailing Address |
717 S State St Suite 900 Fairmont MN 56031-4469 |
| Practice Telephone | 5075265191 |
| Practice Fax Number | 5075263928 |
| Mailing Telephone | 5072384949 |
| Mailing Fax Number | 5072383377 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-11-10 |
| Authorized Official Name | MS. DAWN MARIE SIEGLING (EXEC. ADMIN. ASSISTANT) |
| Authorized Official Telephone | 5072384949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Center for Specialty Care-Blue Earth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326279415 | Fairmont Orthopedics and Sports Medicine, Pa | Specialist | 2150 Hospital Drive, Windom, MN 56101-4469 | 2009-08-06 |
| 1245461334 | Fairmont Orthopedics and Sports Medicine, Pa | Specialist | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2009-08-06 |
| 1093946295 | Fairmont Orthopedics and Sports Medicine, Pa | Specialist | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2009-08-05 |
| Street Address |
435 S GROVE ST SUITE 3 |
| City | BLUE EARTH |
| State | MN |
| Zip Code | 56013-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351199 | Caroline A Whitney | Nurse Practitioner | 435 S Grove St, Ste 1, Blue Earth, MN 56013-2604 | 2005-07-22 |
| 1568811040 | Brittany Nita Boettcher | Optometrist | 435 S Grove St, Blue Earth, MN 56013-2604 | 2016-06-06 |
| 1518950708 | Blue Earth Valley Eye Clinic Ltd | Clinic/Center | 435 S Grove St, Blue Earth, MN 56013-2604 | 2005-08-24 |
| 1689667875 | Brent Daniel Johnson | Optometrist | 435 S Grove St, Suite 2, Blue Earth, MN 56013-2604 | 2005-08-24 |
| 1649270273 | Michael H Mccarty | Physician Assistant | 435 S Grove St, Ste 1, Blue Earth, MN 56013-2604 | 2005-07-26 |
| 1356341093 | Debra L Mccarty | Family Medicine | 435 S Grove St, Ste 1, Blue Earth, MN 56013-2604 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396920435 | Douglas Hansen Dds Inc. | Dentist | 2507 Chadwick Rd., Cedar Falls, IA 56013 | 2008-01-08 |
| 1790984144 | Aaron Elliott Johnson | Family Medicine | 515 South Moore St., Blue Earth, MN 56013 | 2007-07-16 |
| 1326178740 | Guontung Wong | Surgery | 515 S Moore Street, United Hospital District, Blue Earth, MN 56013 | 2007-03-06 |
| 1669402954 | Joseph W Tempel | Family Medicine | 520 S Galbraith, Mankato Clinic Blue Earth Medical Center, Blue Earth, MN 56013 | 2006-07-03 |
| 1780654079 | Timothy A Soelter | Physician Assistant | 515 South Moore Street, Blue Earth, MN 56013 | 2006-01-26 |
| 1386965184 | Bobby L. Karp Jr. | Family Medicine | 515 South Moore Street, Blue Earth, MN 56013 | 2010-06-15 |
| 1598943821 | Jennifer Marie Smith | Family Medicine | 515 South Moore St., Blue Earth, MN 56013 | 2008-02-08 |
| 1669939054 | Sistercare, LLC. | Home Health Aide | 311 S Nicollet St, Blue Earth, MN 56013-1313 | 2019-02-21 |
| 1376619858 | Patricia Jean Hanson | Marriage & Family Therapist | 305 N Circle Dr, Blue Earth, MN 56013-1637 | 2006-11-28 |
| 1992900617 | Family Inspirations, LLC | Marriage & Family Therapist | 305 N Circle Dr, Blue Earth, MN 56013-1637 | 2007-06-21 |
| Find all providers in zip 56013 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164758991 | Southern Minnesota Surgical Inc | Specialist | 519 S Galbraith St, Blue Earth, MN 56013-2155 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BLUE EARTH |
| Zip Code | 56013 |
Please comment or provide details below to improve the information on FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA.
| 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.