Amie Fonder (NPI# 1295112423, PAC ID# 6103138516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1295112423 |
PAC ID by PECOS | 6103138516 |
Professional Enrollment ID | I20150626001416 |
Full Name | Amie Fonder |
Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
Address |
2708 Bridge Ave Albert Lea MN 56007-2077 |
Phone Number | 5073732384 |
Gender | F |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 2015 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 4385556703 |
Number of Group Practice Members | 571 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240010 | MAYO CLINIC HOSPITAL ROCHESTER |
240018 | MAYO CLINIC HEALTH SYSTEM IN RED WING |
Address | Phone | Organization |
---|---|---|
2708 Bridge Ave, Albert Lea, MN 56007-2077 | 5073732384 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
404 W Fountain St, Albert Lea, MN 56007-2437 | 5073732384 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
200 1st St Sw, Rochester, MN 55905-0001 | MAYO CLINIC |
Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
Physicians | 500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin N Kastl | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
Kari A Felten Mylenbusch | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System Southeast Minnesota Region | 1000 1st Dr Nw, Austin, MN 55912-2941 |
Therese J Campbell | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Jason A Lee | Physical Medicine and Rehabilitation | Mayo Clinic Health System Southeast Minnesota Region | 300 State Ave, Faribault, MN 55021-6319 |
Jacob C Kruger | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2200 Nw 26th St, Owatonna, MN 55060-5503 |
Thomas W. Rooke | Cardiovascular Disease (cardiology) | Mayo Clinic Health System Southeast Minnesota Region | 701 Hewitt Blvd, Red Wing, MN 55066-2848 |
Tyler S Oesterle | Psychiatry | Mayo Clinic Health System Southeast Minnesota Region | 404 W Fountain St, Albert Lea, MN 56007-2437 |
Darcy L Reber | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 |
Evie L Christensen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 530 W Cairns St, Ellsworth, WI 54011-9225 |
Jeffrey M Ketcham | Ophthalmology | Mayo Clinic Health System Southeast Minnesota Region | 6487 Cedar Hills Dr, Cannon Falls, MN 55009-4264 |
Street Address |
2708 BRIDGE AVE |
City | ALBERT LEA |
State | MN |
Zip | 56007-2077 |
Name | Specialty | Organization | Address |
---|---|---|---|
Therese J Campbell | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Carla M Mehelich-ubben | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Nichole A Smith | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Susan Lea Andersen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Tanya Bredesen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas J Edwards | Chiropractic | Albert Lea Chiropractic, Plc | 1340 W Main St, Albert Lea, MN 56007-1800 |
Ann M Sahr | Chiropractic | Albert Lea Chiropractic, Plc | 1340 W Main St, Albert Lea, MN 56007-1800 |
John D Peterson | Chiropractic | 1454 W Main St, Albert Lea, MN 56007-1816 | |
Timothy P Lang | Psychologist, Clinical | 1637 W Main St, Albert Lea, MN 56007-1868 | |
Alison A Sorensen | Chiropractic | 1629 W Main St, Albert Lea, MN 56007-1868 | |
Travis D Klatt | Podiatry | John M Enger Professional Association | 904 E Plaza St, Albert Lea, MN 56007-2044 |
John M Enger | Podiatry | John M Enger Professional Association | 904 E Plaza St, Albert Lea, MN 56007-2044 |
Brian G Zogg | Dermatology | 2718 Ekko Ave, Albert Lea, MN 56007-2070 | |
Tyler S Oesterle | Psychiatry | Mayo Clinic Health System Southeast Minnesota Region | 404 W Fountain St, Albert Lea, MN 56007-2437 |
David W Claypool | Emergency Medicine | Mayo Clinic Health System Southeast Minnesota Region | 404 W Fountain St, Albert Lea, MN 56007-2437 |
Find all physicians in zip 56007 |
City | ALBERT LEA |
Zip Code | 56007 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ALBERT LEA + PHYSICIAN ASSISTANT |
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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.