GEORGE MARCUS (NPI# 1851377162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851377162 |
| Entity Type | Individual |
| Full Name | GEORGE MARCUS |
| Credential | M.D. |
| Practice Address |
134 Southview St Owatonna MN 55060-3241 |
| Mailing Address |
2200 Nw 26th St Owatonna MN 55060-5503 |
| Practice Telephone | 5074511120 |
| Practice Fax Number | 5074446287 |
| Mailing Telephone | 5074511120 |
| Mailing Fax Number | 5074446287 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
43203 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAILROAD | 300112816 | 01 |
| MN | 116625500 | 05 | |
| MN | MEDICARE - OWATONNA | 300004181 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558642934 | George Edward Marcus IIi | Physician Assistant | 2125 Aileen Dr, Antioch, TN 37013-1702 | 2011-08-30 |
| Street Address |
134 SOUTHVIEW ST |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285160259 | Sara Halla | Counselor | 134 Southview St, Owatonna, MN 55060-3241 | 2017-05-11 |
| 1770750523 | Urology Associates, Ltd. | Urology | 134 Southview St, Owatonna, MN 55060-3241 | 2008-05-12 |
| 1699796052 | Connie Marie Grandia | Physician Assistant | 134 Southview St, Owatonna, MN 55060-3241 | 2006-07-21 |
| 1003855651 | Eleanor O Vita | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-06-06 |
| 1780646778 | Tony F Chou | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-04-05 |
| 1548221757 | Diane E Wallner | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1427019637 | Gregory Carl Jones | Otolaryngology | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1942261151 | Joan M Queen | Nurse Practitioner | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1205897428 | Kim Willis Baker | Emergency Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| 1932160157 | Garry Lee Cole | Family Medicine | 134 Southview St, Owatonna, MN 55060-3241 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982822540 | David Morgan Penn | Radiology | 2200 Nw 26th St, Mayo Clinic Health System, Owatonna, MN 55060-5503 | 2007-04-20 |
| 1144235714 | Imaging Associates, Pa | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-30 |
| 1114942497 | Richard J Vanasek | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-13 |
| 1205869799 | Dennis J Rinehart | Radiology | 903 S Oak Ave, Owatonna, MN 55060-3200 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
| 1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
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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.