MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI# 1609911205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609911205 |
Entity Type | Organization |
Organization Name | MINNESOTA ONCOLOGY HEMATOLOGY, PA |
Practice Address |
345 Sherman St Suite 100 Saint Paul MN 55102-2401 |
Practice Telephone | 6512515500 |
Practice Fax Number | 6512515555 |
Mailing Telephone | 6512515500 |
Mailing Fax Number | 6512515555 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2013-09-24 |
Authorized Official Name | DR. DEAN GESME (PRESIDENT) |
Authorized Official Telephone | 6128846300 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | 1076 | MN | Dietary & Nutritional Service Providers |
N | 170300000X | Genetic Counselor, MS | 1076 | MN | Other Service Providers |
N | 207R00000X | Internal Medicine | 1076 | MN | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1076 | MN | Allopathic & Osteopathic Physicians |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 364S00000X | Clinical Nurse Specialist | 1076 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
1076 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 896027500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770123697 | Minnesota Oncology Hematology, Pa | Radiology | 1580 Beam Ave, Saint Paul, MN 55109-1127 | 2020-01-08 |
1598305427 | Minnesota Oncology Hematology, Pa | Radiology | 345 Sherman St Ste 100, Saint Paul, MN 55102-2401 | 2020-01-08 |
1114430089 | Minnesota Oncology Hematology, Pa | Internal Medicine | 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | 2017-11-14 |
1881130417 | Minnesota Oncology Hematology, Pa | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2017-01-06 |
1619111705 | Minnesota Oncology Hematology, Pa | Dietitian, Registered | 11850 Blackfoot Nw, Suite 100, Coon Rapids, MN 55433-2569 | 2009-04-21 |
1356585442 | Minnesota Oncology Hematology, Pa | Internal Medicine | 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432 | 2009-04-21 |
1447409834 | Minnesota Oncology Hematology, Pa | Obstetrics & Gynecology | 3960 Coon Rapids Blvd Nw, Suite 101, Coon Rapids, MN 55433-2569 | 2008-09-10 |
1851569909 | Minnesota Oncology Hematology, Pa | Physician Assistant | 6363 France Ave S, Suite 200, Edina, MN 55435-2129 | 2008-02-12 |
1447394424 | Minnesota Oncology Hematology, Pa | Dietitian, Registered | 560 S Maple St, Suite 100, Waconia, MN 55387-1760 | 2007-02-16 |
1467595868 | Minnesota Oncology Hematology, Pa | Nurse Practitioner | 675 E Nicollet Blvd Ste 100, Burnsville, MN 55337-6749 | 2007-02-15 |
Street Address |
345 SHERMAN ST SUITE 100 |
City | SAINT PAUL |
State | MN |
Zip Code | 55102-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
1497099709 | Komal Dave | Physician Assistant | 345 Sherman St, Ste 100, Saint Paul, MN 55102 | 2012-11-27 |
1134391899 | Sara Rebecca Torgerson | Internal Medicine | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 | 2008-04-01 |
1649280843 | Amy Mcnally | Obstetrics & Gynecology | 345 Sherman St, Suite 100-200, Saint Paul, MN 55102-2401 | 2006-08-09 |
1114978335 | Kathryn E. Farniok | Radiology | 345 Sherman St, Saint Paul, MN 55102-2401 | 2006-05-12 |
1588633838 | Mark A Palmer | Radiology | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 | 2006-03-17 |
1770552317 | Timothy R Toonen | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
Find all providers in zip 55102 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386987535 | Kathryn Baxstrom | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-04-05 |
1225355829 | Yan Ji | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2010-04-23 |
1134391899 | Sara Rebecca Torgerson | Internal Medicine | 345 Sherman St, Suite 100, Saint Paul, MN 55102-2401 | 2008-04-01 |
1245373646 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 460, Saint Paul, MN 55102-2393 | 2007-02-15 |
1548303647 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 430, Saint Paul, MN 55102-2393 | 2007-02-15 |
1457494551 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 480, Saint Paul, MN 55102-2393 | 2007-02-15 |
1356495501 | Irving J Lerner | Internal Medicine | 333 Smith Ave N, Ms 60324, Saint Paul, MN 55102-2344 | 2007-01-23 |
1770552317 | Timothy R Toonen | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780041301 | Nicole Jacobi | Internal Medicine | 701 Park Avenue Mail Code O1.340, Minneapolis, MN 55415-1623 | 2016-01-27 |
1366691636 | Laxmidas Anant Sawkar | Internal Medicine | 11376 Sandcastle Dr, Woodbury, MN 55129-8562 | 2008-09-11 |
1669628517 | Howard Clark Hoagland | Internal Medicine | 1705 Folwell Dr Sw, Rochester, MN 55902-0987 | 2008-08-12 |
1366626343 | Hilary Ikenna Ufearo | Internal Medicine | 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303-5000 | 2007-12-26 |
1598851198 | Douglas Yee | Internal Medicine | Masonic Cancer Center, First Floor, Suite M100, 424 Harvard Street Se, Minneapolis, MN 55455 | 2006-10-04 |
1073605952 | John Manion | Internal Medicine | 3435 West Broadway, Suite 1065, Robbinsdale, MN 55422 | 2006-09-29 |
1194817072 | Robert D Winston | Internal Medicine | 3960 Coon Rapids Blvd, Suite 311, Coon Rapids, MN 55433 | 2006-09-29 |
1023111531 | Ayse Malcolm | Internal Medicine | 1455 St. Francis Avenue, St. Francis Regional Medical Center, Shakopee, MN 55379-3380 | 2006-09-07 |
1821008996 | Joseph Michael Cardamone Jr. | Internal Medicine | 11850 Blackfoot Ne, Suite 100, Coon Rapids, MN 55433-2598 | 2006-08-09 |
1134135106 | Kendra L. Kubiak | Internal Medicine | 3931 Louisiana Avenue, St Louis Park, MN 55426 | 2006-07-31 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55102 |
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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.