DR. PETER CERMAK (NPI# 1609803766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609803766 |
| Entity Type | Individual |
| Full Name | DR. PETER CERMAK |
| Credential | M.D. |
| Practice Address |
Ufp Phalen Village Clinic 1414 Maryland Avenue East Saint Paul MN 55106 |
| Practice Telephone | 6517723461 |
| Practice Fax Number | 6517722605 |
| Mailing Telephone | 6517723461 |
| Mailing Fax Number | 6517722605 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20653 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ARAZ | 1027633 | 01 |
| MN | HEALTHPARTNERS | HP15990 | 01 |
| MN | BCBS | 42G35CE | 01 |
| WI | 31320300 | 05 | |
| MN | 440385100 | 05 | |
| MN | MEDICA | 04-02443 | 01 |
| MN | UCARE | 1000614 | 01 |
| MN | MEDICA CHOICE & PRIMARY | 04-02514 | 01 |
| Street Address |
UFP PHALEN VILLAGE CLINIC 1414 MARYLAND AVENUE EAST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404952 | William Oliver Roberts | Family Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-10-23 |
| 1639251887 | George Smith | Family Medicine | Ufp Phalen Village Clinic, 1414 Maryland Ave East, Saint Paul, MN 55106 | 2006-10-19 |
| 1548295207 | Jason Matthew Devries | Family Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-07-11 |
| 1447288311 | Kirby Dwight Clark | Family Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-29 |
| 1770510281 | David Charles Current | Family Medicine | Ufp Phalen Village Clinic, 1414 Maryland Avenue East, Saint Paul, MN 55106 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174939706 | Bjorn Bakken | Internal Medicine | 1021 Bandana Blvd E Ste 250, Saint Paul, MN 55108-5113 | 2014-07-03 |
| 1679997936 | Keith Eugene Folkert | Internal Medicine | 2122 Highland Pkwy, Saint Paul, MN 55116-1313 | 2014-02-06 |
| 1255607321 | Louis A Sagert | Internal Medicine | 497 Curfew St, Saint Paul, MN 55104-4912 | 2012-03-22 |
| 1912137944 | Dominic Rossini | Internal Medicine | 116 W Pleasant Lake Rd, Saint Paul, MN 55127-2621 | 2009-07-24 |
| 1639367865 | Kerwin T Chan | Internal Medicine | 45 10th St W Ste A, Saint Paul, MN 55102-1062 | 2007-10-12 |
| 1861696056 | Emily Ruth Conover Downing | Internal Medicine | 1055 Westgate Drive, Suite 100, Allina Home and Community Services, Saint Paul, MN 55114 | 2007-06-12 |
| 1750304580 | Bobby Khue Yang | Internal Medicine | 1047 University Ave W Ste 101, Saint Paul, MN 55104-4751 | 2006-07-25 |
| 1093746000 | Salima Mithani | Internal Medicine | 2005 Ford Pkwy, Saint Paul, MN 55116-1932 | 2006-07-06 |
| 1619903093 | Shannon Canas | Internal Medicine | 1000 Westgate Dr, Suite 149, Saint Paul, MN 55114-8612 | 2006-06-25 |
| 1598722464 | John F Rotilie | Internal Medicine | 2300 Saint Clair Ave, Saint Paul, MN 55105-1137 | 2006-04-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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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.