Heidi L Malling (NPI# 1053389742, PAC ID# 2567439219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1053389742 |
| PAC ID by PECOS | 2567439219 |
| Professional Enrollment ID | I20040913001205 |
| Full Name | Heidi L Malling |
| Organization Legal Name | ST JOSEPHS MEDICAL CENTER |
| Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Phone Number | 2188287100 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 8224948443 |
| Number of Group Practice Members | 189 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240075 | ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER |
| 240001 | NORTH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 523 N 3rd St, Brainerd, MN 56401-3054 | 2188287100 | ST JOSEPHS MEDICAL CENTER |
| Organization Legal Name | ST JOSEPHS MEDICAL CENTER |
| Physicians | 132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karli G Dullum | Nurse Practitioner | St Josephs Medical Center | 2024 S 6th St, Brainerd, MN 56401-4529 |
| Amy Borash | Physician Assistant | St Josephs Medical Center | 138 Main St S, Pierz, MN 56364-4400 |
| Stacy L Brazier | Anesthesiology | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Megan E.m. Gladen | Family Medicine | St Josephs Medical Center | 415 Barclay Ave, Pine River, MN 56474-5139 |
| Amy E Lelwica | Orthopedic Surgery | St Josephs Medical Center | 2014 S 6th St, Brainerd, MN 56401-4529 |
| Ted L Trueblood | Family Medicine | St Josephs Medical Center | 35205 County Rd, Suite 3, Crosslake, MN 56442-4057 |
| Kelli B Leland | Family Medicine | St Josephs Medical Center | 221 Main St N, Pierz, MN 56364-1570 |
| Mark W Haecker | Anesthesiology | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Deanne R Ehlert | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Mark Christopher Patnode | Emergency Medicine | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Street Address |
523 N 3RD ST |
| City | BRAINERD |
| State | MN |
| Zip | 56401-3054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy L Brazier | Anesthesiology | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Mark W Haecker | Anesthesiology | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Deanne R Ehlert | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Mark Christopher Patnode | Emergency Medicine | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Danette Lee Diethert | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Kacie N Wottreng | Certified Registered Nurse Anesthetist (crna) | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Leif M Dahleen | Anesthesiology | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Jordan J Benson | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Mary Lee Kreger | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Theresa M Steele | Nurse Practitioner | St Josephs Medical Center | 523 N 3rd St, Brainerd, MN 56401-3054 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Lynch | Physical Therapy | Select Therapy Inc | 17192, Suite 371, Brainerd, MN 56401 |
| Melisa Palmer | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Aaron J Hokanson | Chiropractic | Select Life Chiropractic, Inc. | 429 8th Ave Ne, Brainerd, MN 56401-2806 |
| Lori Alice Gutierrez | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Melonee Ruhl | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Michael G Didier | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Ryan J Hokanson | Chiropractic | Select Life Chiropractic, Inc. | 429 8th Ave Ne, Brainerd, MN 56401-2806 |
| Erin S Swanson | Nurse Practitioner | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Kayla M Hagen | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Jennifer Josephine Didier | Physician Assistant | Brainerd Medical Center Inc | 417 8th Ave Ne, Brainerd, MN 56401-2806 |
| Find all physicians in zip 56401 | |||
| City | BRAINERD |
| Zip Code | 56401 |
| Specialty | HOSPITALIST |
| City + Specialty | BRAINERD + HOSPITALIST |
Please comment or provide details below to improve the information on Heidi L Malling.
| 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.