DR. KEITH A MOENCH (NPI# 1861635435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861635435 |
| Entity Type | Individual |
| Full Name | DR. KEITH A MOENCH |
| Credential | M.D. |
| Practice Address |
640 Jackson St Healthpartners Regions Specialty Clinics - Mc 11102d St. Paul MN 55101-2502 |
| Mailing Address |
8170 33rd Ave S Ms21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512544783 |
| Practice Fax Number | 6512542085 |
| Mailing Telephone | 9528835375 |
| Mailing Fax Number | 6512542085 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2012-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 52609 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
640 JACKSON ST HEALTHPARTNERS REGIONS SPECIALTY CLINICS - MC 11102D |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194284331 | Nora Nashawaty | Genetic Counselor, MS | 640 Jackson St, Mailstop 11101g, St. Paul, MN 55101 | 2019-03-18 |
| 1548717663 | Hanna Iona Sandstrom | Registered Nurse | 640 Jackson St, St. Paul, MN 55101 | 2016-09-07 |
| 1154630259 | Kathleen Erin O'meara | Nurse Anesthetist, Certified Registered | 640 Jackson St, St. Paul, MN 55101 | 2010-10-07 |
| 1609021930 | Puneet Narang | Psychiatry & Neurology | 640 Jackson St, Ms 11302c Healthpartners Regions Behavioral Health, St. Paul, MN 55101-2502 | 2008-12-01 |
| 1316110869 | David Ernest Niccum | Internal Medicine | 640 Jackson St, Ms 11502b, St. Paul, MN 55101-2502 | 2008-04-04 |
| 1902028996 | Jill Michelle Krokowski | Physical Therapist | 640 Jackson St, St. Paul, MN 55101 | 2007-05-02 |
| 1861618373 | Steven E Mccormack | Internal Medicine | 640 Jackson St, Healthpartners Regions Specialty Clinics - Mc 11503f, St. Paul, MN 55101-2502 | 2007-04-17 |
| 1902903693 | Sara E Erickson | Internal Medicine | 640 Jackson St, Ms 11502b Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-09-17 |
| 1265542526 | Balkrishna N Jahagirdar | Internal Medicine | 640 Jackson St, Healthpartners Regions Speciality Clinics, St. Paul, MN 55101-2502 | 2006-08-30 |
| 1780644740 | Nemera F Weyessa | Family Medicine | 640 Jackson St, Mail Stop 11302c, Healthpartners Regions Behavioral Hea, St. Paul, MN 55101-2502 | 2006-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740214014 | Marie Christine Leisz | Physical Medicine & Rehabilitation | 280 North Smith Avenue, Doctors Professional Building, St. Paul, MN 55102-2459 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931349 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 1463 White Oak Dr, Chaska, MN 55318-2525 | 2020-01-13 |
| 1497225742 | Jessica Lynch | Physical Medicine & Rehabilitation | 2015 Hennepin Ave N, Glencoe, MN 55336-1446 | 2018-11-29 |
| 1306323514 | Peggy Golembeck | Physical Medicine & Rehabilitation | 6211 Alden Way Ne, Fridley, MN 55432-4824 | 2018-07-20 |
| 1225523970 | Burnsville Surgery Center, P.a. | Physical Medicine & Rehabilitation | 14551 County Road 11 Ste 110, Burnsville, MN 55337-4735 | 2018-06-26 |
| 1790291748 | Allied Physical Therapy LLC | Physical Medicine & Rehabilitation | 506 E Kenny Road, Suite 100, Saint Paul, MN 55130-4555 | 2017-12-28 |
| 1336655521 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 14551 County Road 11 Ste 100, Burnsville, MN 55337-4799 | 2017-12-26 |
| 1336677855 | Matthew David Hodgden | Physical Medicine & Rehabilitation | 1522 N Riverfront Dr, Mankato, MN 56001 | 2017-05-29 |
| 1902264278 | Andrew Steiner | Physical Medicine & Rehabilitation | 1673 Interlaken Ct, Waconia, MN 55387-2200 | 2016-02-02 |
| 1841655156 | Summit Orthopedics, Ltd | Physical Medicine & Rehabilitation | 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 | 2015-12-31 |
| 1750797072 | Andrew J Will Md Pa | Physical Medicine & Rehabilitation | 7270 Forestview Ln N Ste 100, Maple Grove, MN 55369-5555 | 2014-07-08 |
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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.