Thomas W Laedtke (NPI# 1679532022, PAC ID# 2860456308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1679532022 |
| PAC ID by PECOS | 2860456308 |
| Professional Enrollment ID | I20100109000026 |
| Full Name | Thomas W Laedtke |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
14101 Fairview Dr Burnsville MN 55337-2537 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1991 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 W 98th St, Bloomington, MN 55420-4773 | FAIRVIEW HEALTH SERVICES | |
| 14101 Fairview Dr, Burnsville, MN 55337-2537 | FAIRVIEW HEALTH SERVICES | |
| 6545 France Ave S, Suite 150, Edina, MN 55435-2180 | 9528485600 | FAIRVIEW HEALTH SERVICES |
| 6341 University Ave Ne, Fridley, MN 55432-4946 | FAIRVIEW HEALTH SERVICES | |
| 6341 University Ave Ne, Suite 104, Fridley, MN 55432-4946 | 7635725706 | FAIRVIEW HEALTH SERVICES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 81% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 25% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 9% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 60% |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
14101 FAIRVIEW DR |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-2537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Richardson | Physician Assistant | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| David J Jewison | Sports Medicine | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Ronald As Reilkoff | Critical Care (intensivists) | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Chelsea A Mielke | Physician Assistant | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Tara J Rick | Physician Assistant | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Christine R Hsu | Physician Assistant | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Courtney E Mcelroy | Internal Medicine | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Shana M Mccracken | Physician Assistant | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Timothy A Joseph | Cardiovascular Disease (cardiology) | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Lindsey G Otte | Nurse Practitioner | Fairview Health Services | 14101 Fairview Dr, Burnsville, MN 55337-2537 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | BURNSVILLE + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Thomas W Laedtke.
| 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.