DR. MICHAEL R ENRICO (NPI# 1912960006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912960006 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL R ENRICO |
| Credential | MD |
| Practice Address |
1230 E Main St Mankato MN 56001-5066 |
| Mailing Address |
1230 E Main St Po Box 8674 Mankato MN 56001-5066 |
| Practice Telephone | 5076251811 |
| Mailing Telephone | 5076251811 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 61281 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | A109050 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE ID | CB218512 | 01 |
| Street Address |
1230 E MAIN ST |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325173 | Kimberly A Aho | Psychiatry & Neurology | 1230 E Main St, Mankato, MN 56001-5066 | 2005-06-08 |
| 1699381418 | Emily Anna Potter | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-5066 | 2020-09-17 |
| 1699233965 | Zachary Joel Stevens | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2019-03-06 |
| 1033674288 | Season Marie Hoffman | Nurse Practitioner | 1230 E Main St, Mankato, MN 56001-8001 | 2019-02-01 |
| 1912471665 | Abby Jo Tibodeau | Dietitian, Registered | 1230 E Main St, Mankato, MN 56001-5066 | 2019-01-16 |
| 1154800886 | Travis Mattson | Physical Therapist | 1230 E Main St, Mankato, MN 56001-8001 | 2018-08-13 |
| 1801383955 | Nathan Evers | Pharmacist | 1230 E Main St, Mankato, MN 56001-5066 | 2018-04-15 |
| 1942704945 | Jennifer Sue Marble | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-23 |
| 1669976742 | Brooke Renee Long | Registered Nurse | 1230 E Main St, Mankato, MN 56001 | 2018-03-22 |
| 1245740463 | Galen Mary Hilgendorf | Physician Assistant | 1230 E Main St, Mankato, MN 56001-5066 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346926 | Scott J Barnacle | Obstetrics & Gynecology | 1230 E Main Street, Mankato, MN 56002-8674 | 2005-09-12 |
| 1932526928 | Katie Keepers | Obstetrics & Gynecology | 1230 E Main St, Mankato, MN 56001 | 2014-03-27 |
| 1578850681 | Sonal Grover | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001 | 2011-07-09 |
| 1578743266 | Amy L. Brien | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001-4752 | 2007-11-09 |
| 1124210398 | Tara Jean Denke | Obstetrics & Gynecology | 1230 E Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-08-13 |
| 1467665315 | Heather R Carlson | Obstetrics & Gynecology | 1230 E. Main Street, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | 2007-05-08 |
| 1013132281 | Tzvetan Fatchikov | Obstetrics & Gynecology | 1015 Marsh St, Mankato, MN 56001-4752 | 2007-04-14 |
| 1902928153 | Gokhan Anil | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001 | 2007-04-06 |
| 1629119771 | Jason John Dewitt | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001 | 2007-02-10 |
| 1255496568 | Salvador Javier Cardenas | Obstetrics & Gynecology | 1025 Marsh St, Mankato, MN 56001-4752 | 2006-12-27 |
| Find all providers in MANKATO | ||||
Please comment or provide details below to improve the information on DR. MICHAEL R ENRICO.
| 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.