JEFFERY R DICHTER (NPI# 1609845742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609845742 |
Entity Type | Individual |
Full Name | JEFFERY R DICHTER |
Credential | MD |
Practice Address |
849 Govern Circle Saint Paul MN 55123 |
Mailing Address |
849 Govern Cir Eagan MN 55123-2460 |
Practice Telephone | 6512714463 |
Mailing Telephone | 6512714463 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2011-08-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
51484 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200123490A | 05 |
Street Address |
849 GOVERN CIRCLE |
City | SAINT PAUL |
State | MN |
Zip Code | 55123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
1699299065 | Jessica Ellen Gerhan | Counselor | 3450 Oleary Ln, Eagan, MN 55123 | 2017-07-27 |
Find all providers in zip 55123 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1235360140 | Inga C Forde | Internal Medicine | 640 Jackson St # Ms 11502b, Saint Paul, MN 55101-2502 | 2009-07-28 |
1356542211 | Joshua Cohen | Internal Medicine | 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 | 2007-05-29 |
1588618508 | James W Quaday | Internal Medicine | 255 Smith Ave N, Suite 300, Saint Paul, MN 55102-2572 | 2006-05-22 |
1609820570 | Linda M. Funk | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-22 |
1770536450 | Mark Roger Freiberg | Internal Medicine | 255 Smith Ave N, Suite 300, Saint Paul, MN 55102-2572 | 2006-05-17 |
1477505121 | Samy El-halawani | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-17 |
1255384913 | Joseph M. Lasnier | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-17 |
1467402941 | Stephen Gryzan | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-12 |
1366492837 | David Warren Bonham | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2534 | 2006-05-12 |
1598715799 | Lee Michael Kamman | Internal Medicine | 255 Smith Ave N, Suite 201, Saint Paul, MN 55102-2572 | 2006-05-11 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55123 |
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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.