Joel A Sagedahl (NPI# 1235110347, PAC ID# 2264334861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1235110347 |
PAC ID by PECOS | 2264334861 |
Professional Enrollment ID | I20040123000659 |
Full Name | Joel A Sagedahl |
Organization Legal Name | NORTHWEST FAMILY PHYSICIANS PA |
Address |
5700 Bottineau Blvd Suite 100 Crystal MN 55429-3184 |
Phone Number | 7635046500 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1999 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0042102956 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240001 | NORTH MEMORIAL MEDICAL CENTER |
240057 | ABBOTT NORTHWESTERN HOSPITAL |
Address | Phone | Organization |
---|---|---|
5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 | 7635046500 | NORTHWEST FAMILY PHYSICIANS PA |
1495 County Rd 101, Plymouth, MN 55447-3078 | 7635046600 | NORTHWEST FAMILY PHYSICIANS PA |
Organization Legal Name | NORTHWEST FAMILY PHYSICIANS PA |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elisabeth J Mcclean | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
William G Larsen | Family Medicine | Northwest Family Physicians Pa | 7920 Moores Chapel Rd, Charlotte, NC 28214-9453 |
Melanie A Hoiland | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Shelly L Anderson | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Karin K Filip | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Kristen L Coulter | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Catherine M Pollock | Physician Assistant | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Chris A Stuart | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Ruby W Tam | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Gregory J Frane | Family Medicine | Northwest Family Physicians Pa | 1495 County Rd 101, Plymouth, MN 55447-3078 |
Street Address |
5700 BOTTINEAU BLVD SUITE 100 |
City | CRYSTAL |
State | MN |
Zip | 55429-3184 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elisabeth J Mcclean | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Lauren M Schairer | Clinical Social Worker | Swenson Psychological Services, LLC | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Kristen L Coulter | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Ruby W Tam | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Mardiya K Jaffer | Nurse Practitioner | Swenson Psychological Services, LLC | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Charet Jean Pelkey | Physical Therapy | Premier Obgyn of Minnesota Pa | 5700 Bottineau Blvd, Suite 210, Crystal, MN 55429-3184 |
Jonathan C Tallman | Family Medicine | Northwest Family Physicians Pa | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3184 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cornelia Dahm | Internal Medicine | 7240 Brooklyn Blvd, Suite 200, Brooklyn Park, MN 55429-1280 | |
Oladepo Fasoranti | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Lois E Cannon | Certified Nurse Midwife (cnm) | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Saima M Ahmer | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Denise M Brown | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Clemence M Sullivan | Internal Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Carola A Jerney | Family Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Temitope Abiola Dawodu | Nurse Practitioner | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Salahudin Maalim | Internal Medicine | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Erika L Ruud | Obstetrics/gynecology | Group Health Plan Inc | 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 |
Find all physicians in zip 55429 |
City | CRYSTAL |
Zip Code | 55429 |
Specialty | FAMILY MEDICINE |
City + Specialty | CRYSTAL + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.