Charles P Reznikoff (NPI# 1013952175, PAC ID# 6103839725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1013952175 |
| PAC ID by PECOS | 6103839725 |
| Professional Enrollment ID | I20060727000451 |
| Full Name | Charles P Reznikoff |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Address |
103 15th Seave Lonsdale MN 55046-5001 |
| Phone Number | 5077443245 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2002 |
| Primary Specialty | ADDICTION MEDICINE |
| Group Practice PAC ID | 2567372998 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 103 15th Seave, Lonsdale, MN 55046-5001 | 5077443245 | NORTHFIELD HOSPITAL |
| 701 Park Ave, Minneapolis, MN 55415-1623 | 6128733000 | HENNEPIN HEALTHCARE SYSTEM INC |
| 2000 N Ave, Northfield, MN 55057-1498 | NORTHFIELD HOSPITAL |
| Organization Legal Name | NORTHFIELD HOSPITAL |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alice S Mann | Family Medicine | Northfield Hospital | 9974 214th St W, Lakeville, MN 55044-1913 |
| Stephan D Thome | Medical Oncology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Lori A Aasen | Nurse Practitioner | Northfield Hospital | 706 Division St S, Northfield, MN 55057-2427 |
| Nicholas W Krawczyk | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Gerard L Ohalloran | Otolaryngology | Northfield Hospital | 1645 Lyndale Ave N, Faribault, MN 55021-2934 |
| Clinton A Muench | Orthopedic Surgery | Northfield Hospital | 1381 Jefferson Rd, Northfield, MN 55057-3080 |
| Cristina M Gonzalez Mendez | Obstetrics/gynecology | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Souheil E Ailabouni | Family Medicine | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Hans Carl Bengtson | Orthopedic Surgery | Northfield Hospital | 4645 Knutsen Dr, Farmington, MN 55024-8455 |
| Kristi A Vonruden | Registered Dietitian Or Nutrition Professional | Northfield Hospital | 2000 N Ave, Northfield, MN 55057-1498 |
| Street Address |
103 15TH SEAVE |
| City | LONSDALE |
| State | MN |
| Zip | 55046-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Greg C Randall | Family Medicine | Northfield Hospital | 103 15th Seave, Lonsdale, MN 55046-5001 |
| Deborah L Suppes | Obstetrics/gynecology | Northfield Hospital | 103 15th Seave, Lonsdale, MN 55046-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Raymond Lieske | Chiropractic | 100 Main S St, Lonsdale, MN 55046-4075 |
| City | LONSDALE |
| Zip Code | 55046 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | LONSDALE + ADDICTION MEDICINE |
Please comment or provide details below to improve the information on Charles P Reznikoff.
| 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.