MOHAMMAD CHELEHMALZADEH (NPI# 1902098460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902098460 |
| Entity Type | Individual |
| Full Name | MOHAMMAD CHELEHMALZADEH |
| Credential | M.D. |
| Practice Address |
320 East Main Street Crosby MN 56441 |
| Practice Telephone | 2185467000 |
| Practice Fax Number | 2185464400 |
| Mailing Telephone | 2185467000 |
| Mailing Fax Number | 2185464400 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2016-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
54701 | CT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MT187992 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
320 EAST MAIN STREET |
| City | CROSBY |
| State | MN |
| Zip Code | 56441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| 1093155442 | Kyle R Moore | Podiatrist | 320 East Main Street, Crosby, MN 56441 | 2013-06-30 |
| 1740624501 | Laura B Fier | Internal Medicine | 320 East Main Street, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2013-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1457794943 | Lynn Marie Gevik | Registered Nurse | 320 E. Main Street, Crosby, MN 56441 | 2013-04-15 |
| 1962711523 | Marcella Hanson | Clinical Nurse Specialist | 320 East Main St, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2010-09-30 |
| 1083700975 | Crow Wing County Ind School District 182 | Local Education Agency (LEA) | 711 Poplar St, Crosby, MN 56441-1135 | 2006-10-05 |
| 1760525612 | Todd Davis Newman | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-02-14 |
| 1902016710 | Crosby Chiropractic, Inc. | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-23 |
| 1669689972 | Christopher Rockwell Davis | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-17 |
| 1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
| 1124313259 | Lachelle Renee Brinks | Nurse Practitioner | 5 W Main St, Crosby, MN 56441-1421 | 2011-06-16 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
| 1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
| 1669544623 | Thomas Charles Koehnen | Emergency Medicine | 38818 730th Ave, Saint James, MN 56081-4482 | 2006-11-14 |
| 1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
| 1831548676 | Sarah Mott | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-10 |
| 1508129198 | Amy M. O'neil | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-19 |
| 1285994517 | Micah Richard Treuer | Emergency Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2012-05-21 |
| 1528324472 | Erin Austad | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2012-04-04 |
| 1740457902 | Ram Prasad Paneru | Emergency Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2008-05-15 |
| 1417123688 | Samuel Robert Goblirsch | Emergency Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-05-07 |
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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.