MARY U KEATING (NPI# 1801887054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801887054 |
| Entity Type | Individual |
| Full Name | MARY U KEATING |
| Credential | MD |
| Practice Address |
1900 Centracare Cir Saint Cloud MN 56303-5000 |
| Practice Telephone | 3206543630 |
| Practice Fax Number | 3206543657 |
| Mailing Telephone | 3206543630 |
| Mailing Fax Number | 3206543657 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
29289 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DEA | AK3240289 | 01 |
| BLUE CROSS BLUE SHIELD | 51A35KE | 01 | |
| UCARE | 110410 | 01 | |
| PREFERRED ONE | 254015 | 01 | |
| MEDICAL ASSISTANCE | 599500400 | 01 | |
| HEALTH PARTNERS | HP25465 | 01 | |
| MEDICA HEALTH PLANS | 0212393 | 01 | |
| FIRST HEALTH PLAN | 2116568 | 01 | |
| ARAZ GROUP AMERICAS PPO | 598519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255808333 | Mary Ellen Keating | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2018-10-26 |
| 1225291016 | Mary Jane Keating | Counselor | 900 S Broadway, #100, Denver, CO 80209-4198 | 2008-07-02 |
| 1912111576 | Mary Margaret Keating | Social Worker | 3569 Ridge Rd, Cleveland, OH 44102-5443 | 2007-05-10 |
| Street Address |
1900 CENTRACARE CIR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000 | 2005-08-12 |
| 1245845007 | Kayla Bolland-hillesheim | Counselor | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2020-09-09 |
| 1255976387 | Victoria Sybilla Hadley | Nurse Practitioner | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-13 |
| 1952945560 | Amanda Rae Schwartz | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-06 |
| 1467095166 | Cameron Svihla | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-25 |
| 1912540188 | Zoe Boehmer | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-21 |
| 1669033429 | Haley Vonbank | Physical Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-06-24 |
| 1396302741 | Karen Ann Reisdorf | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-05-21 |
| 1316500648 | Carrilyn Bechtold | Occupational Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-04-22 |
| 1770049066 | Clinton James Billhorn | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518116797 | Richard G Vandellen | Internal Medicine | 600 4th St Sw Apt 306, Rochester, MN 55902-3245 | 2008-09-12 |
| 1386725968 | Lindsey Samuel Pearson | Internal Medicine | 11608 Terrace Rd Ne, Administrative Office, Minneapolis, MN 55434-1861 | 2006-10-18 |
| 1275822686 | Jennifer Erin Boeckman | Internal Medicine | 565 Snelling Ave S, Saint Paul, MN 55116-1525 | 2011-04-06 |
| 1922217991 | John C. Moore | Internal Medicine | 2080 Woodwinds Dr Ste 240, Woodbury, MN 55125-2539 | 2007-05-22 |
| 1932286556 | Avni Y Joshi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-11-01 |
| 1972510220 | Mee Lee Chun Nelson | Internal Medicine | 501 E Nicollet Blvd, Sye 200, Burnsville, MN 55337-6732 | 2006-08-01 |
| 1346208774 | Paul E. Dahlberg | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-05-03 |
| 1588640502 | Evangelo Frigas | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-21 |
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on MARY U KEATING.
| 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.