DR. MARK T DAHL (NPI# 1508862194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508862194 |
| Entity Type | Individual |
| Full Name | DR. MARK T DAHL |
| Credential | M.D. |
| Practice Address |
5803 Neal Ave N Oak Park Heights MN 55082-2177 |
| Practice Telephone | 6514398807 |
| Practice Fax Number | 6514390232 |
| Mailing Telephone | 6514398807 |
| Mailing Fax Number | 6514390232 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 26212 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31946300 | 05 | |
| MN | 853077700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790051415 | Mark Kenneth Dahl | Pharmacist | 930 Malabar Rd Se, Palm Bay, FL 32907-3252 | 2012-03-27 |
| 1730137373 | Mark R Dahl | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-05-05 |
| 1154304921 | Mark V Dahl | Dermatology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5404 | 2005-11-25 |
| Street Address |
5803 NEAL AVE N |
| City | OAK PARK HEIGHTS |
| State | MN |
| Zip Code | 55082-2177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761322 | David Hadley Palmer | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1790230688 | Daniel B Stark | Physical Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-08-20 |
| 1700232444 | Kelly Mcgough | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-05-12 |
| 1255798757 | Danielle M Stark | Occupational Therapist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2016-01-28 |
| 1134595978 | Tracy E Bunnell | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-08-17 |
| 1467839209 | Kirtley Grace Compton | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2015-04-30 |
| 1295138931 | Britta Lee Carlson | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-10-08 |
| 1548669955 | Wilfred Oakley Stout | Physician Assistant | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-08-21 |
| 1144633165 | Amy Hutter | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-06 |
| 1275946394 | Molly Augustine | Specialist/Technologist | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761322 | David Hadley Palmer | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1467681932 | Kevin Earl Lindgren | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2009-07-06 |
| 1174766505 | Erik Jordan Peterson | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2009-04-15 |
| 1376730069 | Jason Paul Dieterle | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2007-09-26 |
| 1487622510 | Paul Dean Hartleben | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2006-03-14 |
| 1669443495 | Thomas K Comfort | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2006-01-30 |
| 1629074471 | William Towle Schneider | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1326044074 | Glenn Warren Ciegler | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1609872381 | Robert Vincent Knowlan | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| 1699771386 | Timothy Jay Panek | Orthopaedic Surgery | 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 | 2005-06-27 |
| Find all providers in OAK PARK HEIGHTS | ||||
| City | OAK PARK HEIGHTS |
| Zip Code | 55082 |
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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.