GREG AUGUST MORTENSEN (NPI# 1972558195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972558195 |
| Entity Type | Individual |
| Full Name | GREG AUGUST MORTENSEN |
| Credential | D.C. |
| Practice Address |
205 North Carver Street Winthrop MN 55396 |
| Practice Telephone | 5076473700 |
| Mailing Telephone | 5076473700 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4536 | MN | Chiropractic Providers |
| Street Address |
205 NORTH CARVER STREET |
| City | WINTHROP |
| State | MN |
| Zip Code | 55396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073949657 | Community Asset Foundation, LLC | Assisted Living Facility | 204 South County Road 33, Winthrop, MN 55396 | 2013-09-16 |
| 1972820736 | Ellen Anderson | Pharmacist | 112 East Second Street., Winthrop, MN 55396 | 2010-05-03 |
| 1366629461 | Ridgeview Clinics | Otolaryngology | 223 N Carver St, Winthrop, MN 55396 | 2008-01-31 |
| 1801956644 | Winthrop Ambulance Service | Ambulance | 305 North Main Street, Winthrop, MN 55396 | 2006-12-11 |
| 1700895760 | Minnesota Drug Acquisition Co LLC | Pharmacy | 103 E 2nd St, Winthrop, MN 55396 | 2006-08-07 |
| 1598725905 | Sibley Medical Center | Clinic/Center | 202 South County Road 33, Winthrop, MN 55396 | 2006-03-28 |
| 1649275538 | David John Bengtson | Dentist | 220 E 2nd St, Winthrop, MN 55396 | 2005-06-16 |
| 1598069114 | Winthrop Pharmacy Services, Ltd | Pharmacy | 112 E 2nd St, Winthrop, MN 55396 | 2010-12-23 |
| 1194904045 | Lowell Francis Kavan | Chiropractor | 109 East 2nd St, Kavan Chiropractic, Winthrop, MN 55396-0206 | 2007-10-29 |
| 1396036356 | Megan Marie Schmidt | Pharmacist | 112 E 2nd St, Winthrop, MN 55396-0599 | 2011-04-26 |
| Find all providers in zip 55396 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669708350 | Danielle C Grondin-stevens | Chiropractor | 1223 Us Route 202, Winthrop, ME 04364-3810 | 2009-10-30 |
| 1194904045 | Lowell Francis Kavan | Chiropractor | 109 East 2nd St, Kavan Chiropractic, Winthrop, MN 55396-0206 | 2007-10-29 |
| 1982893467 | Elite Health Chiropractic Center, Pllc | Chiropractor | 205 S Carver St, Winthrop, MN 55396-2396 | 2007-10-19 |
| 1467517516 | Lawrence Delisi | Chiropractor | 517 Highway 20, Winthrop, WA 98862 | 2006-12-27 |
| 1013096676 | Michael Alton Hoyt | Chiropractor | 1354 Us Rt 202, Winthrop, ME 04364 | 2006-11-03 |
| 1992889224 | Robert Nicholas Staulo | Chiropractor | 52 Waveway Ave, Apt 1, Winthrop, MA 02152-1235 | 2006-10-24 |
| 1043310980 | David James Metcalf | Chiropractor | 1354 Us Route 202, Winthrop, ME 04364-3821 | 2006-09-22 |
| 1093813396 | Brendan Patrick Corcoran | Chiropractor | 11 Bartlett Rd, Winthrop, MA 02152-2912 | 2006-09-20 |
| 1669427365 | Paul Charles Mcgee | Chiropractor | 57 Putnam Street, Winthrop, MA 02152 | 2006-05-23 |
| 1083266894 | Hoyt Chiropractic LLC | Chiropractor | 1354 Us Route 202, Winthrop, ME 04364-3821 | 2019-07-11 |
| Find all providers in WINTHROP | ||||
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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.