Katherine Ann Vichorek (NPI# 1134665334, PAC ID# 6608159157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134665334 |
| PAC ID by PECOS | 6608159157 |
| Professional Enrollment ID | I20190313001506 |
| Full Name | Katherine Ann Vichorek |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Address |
1240 3rd Ave E Suite 100 Shakopee MN 55379-1679 |
| Phone Number | 8775221275 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860726221 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 831 E 2nd St, Duluth, MN 55805-2103 | 87752212753049 | IDEAL OPTION, PLLC |
| 451 E Saint Germain St, Suite 200, Saint Cloud, MN 56304-0759 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 1240 3rd Ave E, Suite 100, Shakopee, MN 55379-1679 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nelsie Toussaint | Nurse Practitioner | Ideal Telemedicine Services LLC | 831 E 2nd St, Duluth, MN 55805-2103 |
| Rhonda Renee Woodside | Nurse Practitioner | Ideal Telemedicine Services LLC | 1601 2nd Ave N, Suite 300w, Great Falls, MT 59401-3243 |
| Jade Ammons | Nurse Practitioner | Ideal Telemedicine Services LLC | 834 S Montana St, Butte, MT 59701-2836 |
| Marianne Hanna Wahba | Physician Assistant | Ideal Telemedicine Services LLC | 22000 64th Ave W, Suite 2f, Mountlake Terrace, WA 98043-2500 |
| Rachael Ann Snyder | Nurse Practitioner | Ideal Telemedicine Services LLC | 316 2nd Ave W, Suite 1, Williston, ND 58801-5218 |
| Ashley Tebay | Nurse Practitioner | Ideal Telemedicine Services LLC | 3301 30th Ave S, Suite 102, Grand Forks, ND 58201-6009 |
| Todd Draper | Nurse Practitioner | Ideal Telemedicine Services LLC | 5431 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7891 |
| Sheri Lynne Bagley | Nurse Practitioner | Ideal Telemedicine Services LLC | 121 N Last Chance Gulch, Suite H, Helena, MT 59601-4140 |
| Blake Kendle Bitton | Physician Assistant | Ideal Telemedicine Services LLC | 1918 Wall St, Everett, WA 98201-3665 |
| Sarah E Pedersen | Physician Assistant | Ideal Telemedicine Services LLC | 2801 S 128th St, Tukwila, WA 98168-3031 |
| Street Address |
1240 3RD AVE E SUITE 100 |
| City | SHAKOPEE |
| State | MN |
| Zip | 55379-1679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Douglas Eckerman | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Kim S Harmon | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Stephanie Stacy Smith | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Danelle Amber Williams Nelson | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Erin L Martin | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Duncan E Anderson | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Raymond J Kennedy Iii | Psychiatry | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Jennifer L Schuldt | Psychologist, Clinical | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Morgan Claire Hittner-ashwell | Clinical Social Worker | County of Scott | 200 4th Ave W, Suite 300, Shakopee, MN 55379-1220 |
| Amber Leigh Hilgart | Clinical Psychologist | County of Scott | 200 4th W Ave, Suite 300, Shakopee, MN 55379-1220 |
| Find all physicians in zip 55379 | |||
| City | SHAKOPEE |
| Zip Code | 55379 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHAKOPEE + NURSE PRACTITIONER |
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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.