MARK A SHANFELD (NPI# 1710024435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710024435 |
| Entity Type | Individual |
| Full Name | MARK A SHANFELD |
| Credential | M.D. |
| Practice Address |
1611 Anne St Nw Bemidji MN 56601-5114 |
| Practice Telephone | 2183332020 |
| Mailing Telephone | 2183332020 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 36199 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 0829867 | 01 | |
| ND | NDBCBS | 28645 | 01 |
| HEALTHPARTNERS | HP57665 | 01 | |
| PREFERREDONE | 1011211 | 01 | |
| MN | 693363700 | 05 |
| Street Address |
1611 ANNE ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790752905 | Valerie Louise Fox | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-03-07 |
| 1336775717 | Shelly Marie Mahowald | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2020-03-18 |
| 1124517511 | Kelsey Lucia Sjogren | Registered Nurse | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2018-05-01 |
| 1023461100 | Tinuade Olukemi Okoro | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-07-13 |
| 1205297512 | Alison Elizabeth Hanson | Nurse Practitioner | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2016-03-14 |
| 1568861607 | Megan Hansen | Social Worker | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-08-14 |
| 1538571468 | Michael Jaje | Family Medicine | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-05-27 |
| 1265842199 | Prabha Nanjundamurthy Dakshayini | Pediatrics | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2014-04-30 |
| 1912325713 | Pamela Skon | Social Worker | 1611 Anne St Nw, Route 13206, Bemidji, MN 56601-5114 | 2014-03-31 |
| 1346592680 | Lucas K Genereux | Optometrist | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730371121 | Retina Consultants, Ltd | Ophthalmology | 1405 Anne St Nw, Bemidji, MN 56601-5113 | 2007-08-10 |
| 1982741336 | Womack Eye Associates, Pa | Ophthalmology | 1405 Anne St Nw, Bemidji, MN 56601-5113 | 2007-02-01 |
| 1962420505 | Mark S Dwyer | Ophthalmology | 1611 Anne St Nw, Bemidji, MN 56601-5114 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290486 | Eye Care Associates, Pa | Ophthalmology | 710 E 24th St Ste 101-201, Minneapolis, MN 55404-3840 | 2018-10-12 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1093160491 | Christina Gillmor | Ophthalmology | 516 Delaware St Se Fl 9, Minneapolis, MN 55455-0356 | 2016-05-04 |
| 1861889776 | Michael Andrew Jordan | Ophthalmology | 825 Nicollet Mall Ste 2000, Minneapolis, MN 55402-2708 | 2015-04-17 |
| 1467872390 | Luke Dolezal | Ophthalmology | 5851 Duluth St Ste 215, Golden Valley, MN 55422-3956 | 2014-04-17 |
| 1811330939 | James Layer | Ophthalmology | 3708 Upton Ave S, Minneapolis, MN 55410-1237 | 2013-04-08 |
| 1093058158 | Hao Tang | Ophthalmology | 7760 France Ave S Ste 310, Edina, MN 55435 | 2013-03-27 |
| 1407112881 | Phillip Michael Armand Radke | Ophthalmology | 7450 France Ave S Ste 100, Edina, MN 55435-4799 | 2012-04-10 |
| 1023374964 | Sasha Strul | Ophthalmology | 701 25th Ave S Ste 300, Minneapolis, MN 55454-1443 | 2012-04-04 |
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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.