MICHAELA BERTSCH (NPI# 1497375141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497375141 |
| Entity Type | Individual |
| Full Name | MICHAELA BERTSCH |
| Practice Address |
15505 Zodiac St Ne Columbus MN 55025-9458 |
| Practice Telephone | 6513010893 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MN | Student, Health Care |
| Street Address |
15505 ZODIAC ST NE |
| City | COLUMBUS |
| State | MN |
| Zip Code | 55025-9458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846173 | Persistence Physical Therapy LLC | Clinic/Center | 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 | 2020-03-20 |
| 1255973319 | Connie Rettig | Technician | 908 North Shore Drive, Forest Lake, MN 55025 | 2019-10-10 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1669754735 | Brent Alan Millard | Pharmacist | 1207 West Broadway Ave, Forest Lake, MN 55025 | 2011-09-15 |
| 1982842167 | Lakes Center for Youth and Families | Community/Behavioral Health | 20 N Lake Street, Suite 103, Forest Lake, MN 55025 | 2009-01-27 |
| 1487843355 | Paul Luke Mladnick | Marriage & Family Therapist | 1068 So Lake St, #109, Forest Lake, MN 55025 | 2007-10-17 |
| 1740477678 | Rita Lynn Scanlan | Occupational Therapist | 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 | 2007-09-25 |
| 1114053113 | Senior Care Forest Lake, LLC | Skilled Nursing Facility | 604 N.e. First Street, Forest Lake, MN 55025 | 2007-02-26 |
| 1073672101 | Catharine B Ruther | Dentist | 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 | 2006-12-06 |
| 1407914849 | Ervin George Savord | Dentist | 255 Highway 97, Suite 1b, Forest Lake, MN 55025 | 2006-12-05 |
| Find all providers in zip 55025 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1447865175 | Shelia Renee Powers | Student in an Organized Health Care Education/Training Program | 403 Jackson Cir, Columbus, MS 39705-1261 | 2020-09-10 |
| 1154934792 | Allison Lee Stillman | Student in an Organized Health Care Education/Training Program | 2033 Bedford Rd, Columbus, OH 43212-1012 | 2020-08-24 |
| 1801419155 | Adenike Eketunde | Student in an Organized Health Care Education/Training Program | 6500 Whittlesey Blvd Apt 418, Columbus, GA 31909-7270 | 2020-05-21 |
| 1841812245 | Marilyn Leif | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Ste 670, Columbus, OH 43210-1267 | 2020-05-08 |
| 1194345231 | Giancarlo Roberto Valiente | Student in an Organized Health Care Education/Training Program | 44 W Kelso Rd Apt 242b, Columbus, OH 43202-2031 | 2020-04-18 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1669091831 | Kaitlin Jessica Kavanagh | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd # 2140, Columbus, OH 43212-3153 | 2020-04-08 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| Find all providers in COLUMBUS | ||||
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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.