DR. ANTHONY A KILLEEN (NPI# 1811087323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811087323 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY A KILLEEN |
| Credential | MD |
| Practice Address |
420 Delaware Street Se 760 Mayo Memorial Building Minneapolis MN 55455 |
| Mailing Address |
420 Delaware St Se Mmc 609 University of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126255443 |
| Practice Fax Number | 6126251121 |
| Mailing Telephone | 6126255443 |
| Mailing Fax Number | 6126251121 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
30034 | MN | Allopathic & Osteopathic Physicians |
| N | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
30034 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
30034 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 041657600 | 05 | |
| MN | U CARE | 102788 | 01 |
| MN | HEALTH PARTNERS | HP38352 | 01 |
| MN | MEDICA-CHOICE | 11-00232 | 01 |
| MN | PREFERRED ONE | 1031950 | 01 |
| ARAZ | 1696864 | 01 | |
| MN | MEDICA-PRIMARY | 11-00014 | 01 |
| Street Address |
420 DELAWARE STREET SE 760 MAYO MEMORIAL BUILDING |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699864611 | Heather A Thompson Buum | Internal Medicine | 420 Delaware Street Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-11 |
| 1912523622 | Michael Ryan Laffin | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-18 |
| 1457976367 | Andrew Olsen Arnold | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-06-16 |
| 1508488453 | Robert Freund | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc609, Mayo D142, Minneapolis, MN 55455 | 2020-05-14 |
| 1205457306 | Margaret Lynn Carroll Flint | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-29 |
| 1790305449 | Bellony Nzemenoh | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1033739651 | Echko Holman | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-23 |
| 1851911671 | Robyn Michelle Marks | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1073133757 | Quinn Charles Bongers | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-22 |
| 1730709593 | Andrea Mary Johnson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629006218 | John Eckfeldt | Pathology | 420 Delaware Street Se, 760 Mayo Memorial Building, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-06-30 |
| 1770729337 | Tetyana Mettler | Pathology | 420 Delaware St Se, Box 609 Mayo, Minneapolis, MN 55455-0341 | 2008-12-31 |
| 1750435269 | Rhonda Lynn Peters | Pathology | 420 Delaware St Se, Mmc 293, Minneapolis, MN 55455-0341 | 2007-01-22 |
| 1598819096 | Katharine Sippel Park | Pathology | 420 Delaware St Se, Mmc 293, Minneapolis, MN 55455-0341 | 2007-01-22 |
| 1740361237 | Michael Williams Steffes | Pathology | 420 Delaware Street Se, Room 760 Mayo Memorial Building, Minneapolis, MN 55455 | 2006-10-18 |
| 1629009444 | Leo Theodore Furcht | Pathology | 420 Delaware St Se, University of Minnesota Physicians420, Minneapolis, MN 55455-0341 | 2006-07-06 |
| 1518999341 | Kazimiera Janina Gajl-peczalska | Pathology | University of Minnesota Physicians, 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis, MN 55455 | 2006-07-06 |
| 1124055678 | Donald Patrick Connelly | Pathology | University of Minnesota Physicians, 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis, MN 55455 | 2006-06-27 |
| 1902840010 | Molly Elizabeth Klein | Pathology | 500 Harvard St Se, Ump Laboratory Medicine & Pathology, Minneapolis, MN 55455-0363 | 2006-06-16 |
| 1396720934 | James Michael Fink | Pathology | 701 Park Ave, Clinical Laboratories P4, Minneapolis, MN 55415-1623 | 2005-12-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.