DR. MARK ROGER FREIBERG (NPI# 1770536450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536450 |
| Entity Type | Individual |
| Full Name | DR. MARK ROGER FREIBERG |
| Credential | M.D. |
| Practice Address |
255 Smith Ave N Suite 300 Saint Paul MN 55102-2572 |
| Practice Telephone | 6517266200 |
| Practice Fax Number | 6517266201 |
| Mailing Telephone | 6517266200 |
| Mailing Fax Number | 6517266201 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-02-13 |
| 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 |
32862 | MN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
32862 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 192598900 | 05 |
| Street Address |
255 SMITH AVE N SUITE 300 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027954 | Brian Alan Swiglo | Internal Medicine | 255 Smith Ave N, Suite 100 United Medical Specialties St Paul, Saint Paul, MN 55102-2572 | 2006-01-12 |
| 1114372612 | Crystal Rudell | Nurse Practitioner | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102 | 2016-05-03 |
| 1326338773 | Ashlie Ann Bondarenko | Registered Nurse | 255 Smith Ave N, Saint Paul, MN 55102-2572 | 2011-04-19 |
| 1548574585 | Andrew Louis Zumbach | Nurse Practitioner | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2010-08-02 |
| 1447323407 | Maria Joseph Wagner | Spec/Tech, Cardiovascular | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-11-16 |
| 1548347594 | Prasanthi Meagher | Internal Medicine | 255 Smith Ave N, #100, Saint Paul, MN 55102-2572 | 2006-11-01 |
| 1275648537 | Mary Margaret Mcmahon Bullis | Registered Nurse | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-08-20 |
| 1659486728 | Karin Ann Engstrand | Registered Nurse | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-08-20 |
| 1417061029 | Irene Carolyn Detviler | Registered Nurse | 255 Smith Ave N, Saint Paul, MN 55102-2572 | 2006-08-19 |
| 1730294067 | Linda Louise Petersen | Registered Nurse | 255 Smith Ave N, Suite 200, Saint Paul, MN 55102-2572 | 2006-08-19 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 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 |
| 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 | 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.