MARY BETH SIMON (NPI# 1942790118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942790118 |
Entity Type | Individual |
Full Name | MARY BETH SIMON |
Practice Address |
40520 Cty Hwy 34 Ogema MN 56569 |
Mailing Address |
40520 Cty Hwy 34 Ogema MN 56569-9612 |
Practice Telephone | 2189836389 |
Mailing Telephone | 2189836389 |
Enumeration Date | 2018-05-14 |
Last Update Date | 2018-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 467987 | MN | Technologists, Technicians & Other Technical Service Providers |
N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
467987 | MN | Technologists, Technicians & Other Technical Service Providers |
N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
467987 | MN | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1093761710 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730709411 | Mary Kathleen Simon | Student in an Organized Health Care Education/Training Program | 1820 S Wiggins Ave, Springfield, IL 62704-3335 | 2020-04-22 |
1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
1194711275 | Mary F Simon | Pediatrics | 5715 N West Ave Ste 102, Fresno, CA 93711-2376 | 2005-09-23 |
1821621145 | Mary Simon | Pharmacist | 2600 W Michigan Ave, Kalamazoo, MI 49006-5502 | 2020-02-14 |
1639645369 | Mary F Simon | Naturopath | 1428 N Farwell Ave, Milwaukee, WI 53202-2968 | 2018-10-20 |
1902282270 | Mary Tabatha Simon | Nurse Practitioner | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2015-08-10 |
1851661482 | Mary Simon | Pharmacist | 1360 W Horizon Ridge Pkwy, Henderson, NV 89012-2462 | 2012-01-12 |
1306007273 | Mary F Simon | Social Worker | 6717 Stone Glen Drive, Middleton, WI 53562 | 2008-06-23 |
1922298603 | Mary Margaret Simon | Social Worker | 6140 W Emerald St, Boise, ID 83704-8857 | 2007-07-27 |
1790805588 | Mary Simon | Physical Therapist | 18840 Falling Water Rd, Strongsville, OH 44136-4200 | 2007-03-29 |
Street Address |
40520 CTY HWY 34 |
City | OGEMA |
State | MN |
Zip Code | 56569 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669430245 | Deanna T Pepper | Registered Nurse | 40520 Cty Hwy 34, White Earth Indian Health Service, Ogema, MN 56569-9612 | 2006-05-03 |
1093069841 | Jana Jolene Heger | Nurse Practitioner | 40520 Cty Hwy 34, Ogema, MN 56569-0000 | 2012-11-01 |
1740202308 | Nay Tah Waush Health Station | Clinic/Center | 40520 Cty Hwy 34, White Earth Health Center, Ogema, MN 56569-9612 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
1053432203 | Jack Thomas Mohr | Pharmacist | Phs Indian Health Service, 40520 Co. Hwy 34, Ogema, MN 56569 | 2007-04-03 |
1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
1053677062 | Sandra J. Holmgren | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569 | 2012-04-03 |
Find all providers in zip 56569 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184114225 | Lesley Ann Warnsholz | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569-9612 | 2018-05-15 |
1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
1427016195 | Joanne I Hanson | Radiologic Technologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-03 |
1215994215 | Janice M Yliniemi | Radiologic Technologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316471253 | Scott Haglund | Radiologic Technologist | 7633 Bennett Ct, Inver Grove Heights, MN 55077-3221 | 2017-04-18 |
1174062749 | John Walseman | Radiologic Technologist | 2505 Minnesota Ave Nw Apt 3, Bemidji, MN 56601-2474 | 2017-02-15 |
1548686546 | Denise Sanders | Radiologic Technologist | 3012 Yukon Ave N, Crystal, MN 55427-2524 | 2014-03-14 |
1033453303 | Jennifer E Bruyere | Radiologic Technologist | 4235 32nd Ave S, Minneapolis, MN 55406-3315 | 2012-11-26 |
1316277346 | Lee Ann Veiman | Radiologic Technologist | 2025 East River Road, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-14 |
1609490424 | Ryan Couch | Radiologic Technologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-06-08 |
1831561786 | Abel Yosief | Radiologic Technologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2015-10-29 |
1386025005 | Darci Lee Eigenberg | Radiologic Technologist | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2015-06-18 |
1932479508 | Erica Suski | Radiologic Technologist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2012-01-12 |
1497085542 | Carol Elizabeth Schuelke | Radiologic Technologist | 2025 East River Parkway, Shriner's Hospital for Children, Minneapolis, MN 55414 | 2010-01-12 |
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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.