MICHAEL CHARLES LUXEM (NPI# 1790929198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790929198 |
| Entity Type | Individual |
| Full Name | MICHAEL CHARLES LUXEM |
| Credential | PHD |
| Practice Address |
1210 1st St W Hastings MN 55033-1147 |
| Practice Telephone | 6514381800 |
| Mailing Telephone | 6514381800 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2707-057 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP 4843 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1210 1ST ST W |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912980582 | Lizbet D. Ronning | Family Medicine | 1210 1st St W, Hastings, MN 55033-1147 | 2005-11-28 |
| 1548779960 | Emily Catherine Niswanger | Dietitian, Registered | 1210 1st St W, Hastings, MN 55033-1147 | 2017-09-28 |
| 1841736063 | Jordan Elizabeth Noble | Physician Assistant | 1210 1st St W, Hastings, MN 55033-1147 | 2017-01-11 |
| 1346644127 | Heather Barron | Psychologist | 1210 1st St W, Hastings, MN 55033-1147 | 2014-10-22 |
| 1063824696 | Krysta Hrdlichka | Physician Assistant | 1210 1st St W, Hastings, MN 55033-1147 | 2014-06-02 |
| 1598109175 | Nicholas Venosdel | Pediatrics | 1210 1st St W, Hastings, MN 55033-1147 | 2013-04-25 |
| 1366695066 | Carolyn Marie Loudermilk | Physician Assistant | 1210 1st St W, Hastings, MN 55033-1147 | 2008-10-28 |
| 1225299449 | Alex Robert Scholl | Podiatrist | 1210 1st St W, Hastings, MN 55033-1147 | 2008-06-19 |
| 1164689667 | Jennifer Ann Slostad | Obstetrics & Gynecology | 1210 1st St W, Hastings, MN 55033-1147 | 2008-05-21 |
| 1053503680 | Angela Carol Faulkner | Obstetrics & Gynecology | 1210 1st St W, Hastings, MN 55033-1147 | 2007-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063725166 | Thomas Robert Lutz | Psychologist | 1125 Ramsey St, Hastings, MN 55033-2811 | 2010-07-17 |
| 1184188369 | Alexandria Fladhammer | Psychologist | 738 W 3rd St, Hastings, NE 68901-5134 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405202 | Q Collective, LLC | Psychologist | 3413 Wilshire Pl Ne, Minneapolis, MN 55418-1447 | 2019-03-09 |
| 1043714199 | Julianna Sapienza | Psychologist | 2545 Chicago Ave Ste 217, Minneapolis, MN 55404-4556 | 2018-03-22 |
| 1942758701 | Dana Hoehn | Psychologist | 4636 Lyndale Ave S, Lower Unit, Minneapolis, MN 55419-5302 | 2016-09-21 |
| 1942687397 | Hope Psychology Practice, LLC | Psychologist | 2720 W. 43rd St., Suite 205, Minneapolis, MN 55410 | 2015-05-05 |
| 1861737041 | Decisionpoint Behavioral Health, Inc. | Psychologist | 206 S Broadway, Suite 411a, Rochester, MN 55904-6502 | 2012-11-29 |
| 1366755597 | Kristin L Ballard | Psychologist | 4005 W 65th St Ste 110, Edina, MN 55435-1700 | 2010-07-16 |
| 1316180011 | Brenda Diane Brant | Psychologist | 18473 97th Pl N, Maple Grove, MN 55311-1368 | 2009-04-09 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| 1710196522 | Bill J Duke | Psychologist | 420 Center Ave Ste 7, Moorhead, MN 56560-1962 | 2007-05-21 |
| 1417173105 | Thomson F Davis | Psychologist | 3537 Lake Elmo Ave N, Suite 190, Lake Elmo, MN 55042-7405 | 2007-04-18 |
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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.